中国实用儿科杂志

中国实用儿科杂志

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浅谈肺炎支原体性细支气管炎

  

  1. 1.国家儿童医学中心  首都医科大学附属北京儿童医院，北京  100045；2.上海交通大学附属儿童医院，上海  200040
  • 出版日期:2021-03-06 发布日期:2021-04-08

Shallow talk Mycoplasma pneumoniae bronchiolitis

  1. *Beijing Children’s Hospital，Capital Medical University，Beijing  100045，China
  • Online:2021-03-06 Published:2021-04-08

摘要： 感染性细支气管炎狭义概念是指2岁以下儿童的下呼吸道炎症和阻塞， 几乎均系病毒尤其是呼吸道合胞病毒（RSV）感染引起。但肺炎支原体也可引起急性感染性细支气管炎， 并可遗留闭塞性细支气管炎， 其临床表现不同于传统认识的RSV毛细支气管炎。有关肺炎支原体性细支气管炎国内认识不多， 许多问题尚需要进一步探讨。该文针对肺炎支原体性细支气管炎的定义、 临床和影像学表现、 发病机制、 诊断和治疗等方面进行了阐述。

关键词: 肺炎支原体, 细支气管炎, 闭塞性细支气管炎, 儿童

Abstract: Bronchiolitis is a disorder commonly caused by viral lower respiratory tract infection in infants，especially respiratory syncytial virus（RSV）. Mycoplasma pneumonia can also  infectious bronchiolitis，its clinical features are different from RSV bronchiolitis and it may develop bronchiolitis obliterans，but little is known about the disease in China. Many issues need to be further explored. The definition，clinical and imaging manifestations，pathogenesis，diagnosis and treatment of Mycoplasma pneumoniae bronchiolitis were reviewed in the article.

Key words: Mycoplasma pneumoniae, bronchiolitis, bronchiolitis obliterans, child