中国实用儿科杂志

中国实用儿科杂志

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纤维支气管镜对儿童难治性肺炎支原体肺炎的诊断治疗价值

  

  1. 中国医科大学附属盛京医院小儿呼吸内科，辽宁 沈阳  110004
  • 出版日期:2019-06-06 发布日期:2019-07-04

Value of fiberoptic bronchoscopy in the diagnosis and treatment of refractory mycoplasma pneumoniae pneumonia in children

  1. Department of Pediatric Pulmonology，Shengjing Hospital of China Medical University，Shenyang  110004，China
  • Online:2019-06-06 Published:2019-07-04

摘要：

肺炎支原体是儿童社区获得性肺炎主要病原体之一， 近年来， 难治性肺炎支原体肺炎发病率越来越高，儿童用药较为有限。纤维支气管镜在儿童难治性肺炎支气管肺炎的诊断及治疗方面有重要作用。该文从支气管镜下气管内膜病变、 灌洗液病原分析、 细胞因子分析、 支气管肺泡灌洗术、 气道清理及局部注药治疗等方面来阐述纤维支气管镜对儿童难治性肺炎支原体肺炎的诊断及治疗价值。

关键词: 难治性肺炎支原体肺炎, 纤维支气管镜, 支气管肺泡灌洗术

Abstract:

Mycoplasma pneumoniae is one of the main pathogens of common community-acquired pneumonia in children. The incidence of refractory mycoplasma pneumoniae pneumonia has been increasing in recent years，and the drugs are limited in children. Fiberoptic bronchoscopy plays an important role in the diagnosis and treatment of refractory mycoplasma pneumoniae pneumonia in children. In this paper，the diagnostic and therapeutic value of fiberoptic bronchoscopy in the treatment of refractory mycoplasma pneumoniae pneumonia in children was expounded from the aspects of endobronchial lesions，pathogen and cytokine analysis in bronchoalveolar lavage fluid，bronchoalveolar lavage，airway cleaning and local drug injection under bronchoscopy.

Key words: refractory mycoplasma pneumoniae pneumonia, fiberoptic bronchoscopy, bronchoalveolar lavage