肺泡灌洗术对于难治性支原体肺炎的诊治新进展  

New Progress in the Diagnosis and Treatment of Refractory Mycoplasma Pneumonia by Alveolar Lavage

作　　者：齐晓艳 宋诩[1] QI Xiaoyan;SONG Xu(Department of Pediatrics,First Affiliated Hospital of Yangtze University,Jingzhou 434000,Hubei,China;General Pediatrics,Ningcheng County Central Hospital,Chifeng City,Chifeng 024200,Inner Mongolia Autonomous Region,China)

机构地区：[1]长江大学附属第一医院儿科,湖北荆州434000 [2]赤峰市宁城县中心医院普儿科,内蒙古赤峰024200

出　　处：《系统医学》2024年第20期184-186,共3页Systems Medicine

摘　　要：肺炎支原体是儿童社区获得性肺炎感染的主要病原体,支原体产生的严重免疫反应导致了难治性肺炎支原体肺炎(refractory mycoplasma pneumoniae pneumonia,RMPP)的发生,支气管镜肺泡灌洗术在儿童难治性肺炎支原体肺炎的诊断及治疗方面有重要应用价值。本文将从肺泡灌洗液(bronchoalveolar lavage fluid,BALF)在RMPP诊断方面的应用价值、支气管镜与其他技术联合对RMMP的诊断价值、镜下局部注药的治疗价值、支气管肺泡灌洗的作用以及灌洗时机、支气管镜肺泡灌洗对RMMP后遗症的治疗研究进展5个方面来阐述,以期为临床提供参考。Mycoplasma pneumoniae is the main pathogen of community-acquired pneumonia infection in children.due to the severe immune response produced by mycoplasma,refractory mycoplasma pneumoniae pneumonia(RMPP)has occurred.Bronchoalveolar lavage has important application value in the diagnosis and treatment of refractory my⁃coplasma pneumoniae pneumonia in children.In this paper,the application value of bronchoalveolar lavage fluid(BALF)in the diagnosis of RMPP,the diagnostic value of bronchoscopy combined with other techniques for RMMP,the therapeutic value of local injection under the microscope,the role of bronchoalveolar lavage and the timing of la⁃vage,and the research progress of bronchoalveolar lavage in the treatment of sequelae of RMMP were reviewed in or⁃der to provide reference for clinical practice.

关 键 词：难治性肺炎支原体肺炎 支气管镜肺泡灌洗术 纤维支气管镜 

分 类 号：R72[医药卫生—儿科]