中国实用儿科杂志

中国实用儿科杂志 ›› 2022, Vol. 37 ›› Issue (2): 126-128.DOI: 10.19538/j.ek2022020612

• 专题笔谈 • 上一篇    下一篇

重症肺炎与肺梗死

  

  1. 四川大学华西第二医院小儿呼吸免疫科  出生缺陷与相关妇儿疾病教育部重点实验室  国家卫生健康委员会时间生物学重点实验室（四川大学），四川  成都  610041
  • 出版日期:2022-02-06 发布日期:2022-02-20
  • 通讯作者: 陈莉娜，电子信箱：chenln66@163.com
  • 基金资助:
    四川省科技厅重点研发计划（2020YFS0105）；四川省重大科技专项（22ZDZX0014）

Severe pneumonia and pulmonary infraction

  1. Division of Pediatric Pulmonology and Immunology，West China Second Hospital，Sichuan University；Key Laboratory of Birth Defects and Related Diseases of Women and Children （Sichuan University），Ministry of Education；NHC Key Laboratory of Chronobiology（Sichuan University），Chengdu  610041，China
  • Online:2022-02-06 Published:2022-02-20

摘要： 肺梗死是儿童重症肺炎的少见并发症，多累及下叶近胸膜处，常常继发于肺血栓栓塞，诊断依靠于胸部增强CT检查。关于儿童重症肺炎并发肺梗死的研究较少，相关病因学、流行病学、临床特点等数据缺乏。基于成人的研究提示肺梗死与肺血栓栓塞的临床表现、治疗及预后类似。儿科医师应提高对本病的认识，通过真实世界研究方法发掘客观规律，积累儿科诊治经验。

关键词: 重症肺炎, 儿童, 肺梗死, 血栓栓塞, 病理

Abstract: Pulmonary infarction，which usually results from pulmonary thromboembolism，is an infrequent complication of childhood severe pneumonia.It often affects lower lobes of the lung and is arranged along the visceral pleura.The diagnosis of pulmonary infarction depends on contrast enhanced chest tomography.Studies on severe pneumonia with pulmonary infarction in children are scarce，and there is a lack of data about the etiology，epidemiology and clinical features of this disease.Reports based on adults reveal that the manifestations，treatment and prognosis of pulmonary infarction are similar to those of pulmonary thromboembolism.Pediatricians should improve recognition of this disease and accumulate experiences on diagnosis and treatment by real world studies.

Key words: severe pneumonia, child, pulmonary infarction, thromboembolism, pathology