132例儿童迁延性肺炎临床特征及病原学分析  

Analysis of Clinical characteristics and etiological of 132 cases in children with persistent pneumonia

作　　者：丁雪霞 DING Xue-Xia(Neonatal department,Xiaonan maternal and child health care hospital,Xiaogan 432000,China)

机构地区：[1]孝感市孝南区妇幼保健院新生儿科,湖北孝感432000

出　　处：《吉林医学》2020年第8期1825-1827,共3页Jilin Medical Journal

摘　　要：目的:探讨儿童迁延性肺炎的临床特征及病原学特点,为临床诊治提供参考依据。方法:选取132例儿童迁延性肺炎患儿的病历资料进行回顾性分析,应用SPSS 20.0软件包对患儿临床表现、基础疾病、辅助检查、病原学数据资料进行分析。结果:咳嗽是迁延性肺炎主要临床表现;基础疾病前三位分别为气道发育异常、先天性心脏病、胃食管反流;革兰阴性菌检出最常见为副流感嗜血杆菌27例(33.8%)、革兰阳性菌检出最常见为肺炎链球菌20例(62.5%),病毒感染大多数为呼吸道合胞病毒,支原体感染以肺炎支原体最常见。结论:儿童迁延性肺炎与基础疾病及病原体密切相关,临床治疗要综合考虑。Objective To investigate the clinical and etiological characteristics of children with persistent pneumonia,and to provide reference for clinical diagnosis and treatment.Method The clinical data of 132 children with persistent pneumonia admitted to our hospital were analyzed retrospectively.The clinical manifestations,basic diseases,auxiliary examinations and etiological data were analyzed by SPSS 20.0 software package.Results Cough was the main clinical manifestation of persistent pneumonia,the first three basic diseases were abnormal airway development,congenital heart disease and gastroesophageal reflux,the most common G-bacteria were Haemophilus parainfluenzae in 27 cases(33.8%)and G+bacteria in 20 cases(62.5%)respectively,and most of the viral infections were respiratory tract.Mycoplasma pneumoniae was the most common form of syncytial virus and mycoplasma infection.Conclusion Protracted pneumonia in children is closely related to underlying diseases and pathogens.Clinical treatment should be considered comprehensively.

关 键 词：儿童 迁延性肺炎 病原学 

分 类 号：R725.6[医药卫生—儿科]