中国实用儿科杂志 ›› 2026, Vol. 41 ›› Issue (3): 217-220.DOI: 10.19538/j.ek2026030609

• 专题笔谈 • 上一篇    下一篇

儿童重症肺炎远期肺内并发症

  

  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
  • 出版日期:2026-03-06 发布日期:2026-04-22
  • 通讯作者: 赵顺英,电子信箱:zhaoshunying2001@163.com

Long-term intrapulmonary complications of severe pneumonia in children

  1. Beijing Children’s Hospital,Capital Medical University,National Center for children’s Health,Beijing  100045,China
  • Online:2026-03-06 Published:2026-04-22

摘要: 重症肺炎远期肺内并发症并无统一定义,文章认为主要包括目前无特效治疗、病变持久存在、可长期甚至终生对患儿造成不同程度影响的慢性疾病,其于重症肺炎后发生,多与肺炎呈连续性过程,发生时间尚未明确。常见并发症为机化性肺炎、闭塞性细支气管炎/闭塞性支气管炎、支气管扩张等。重症远期并发症可引起气促,喘息,呼吸困难,肺部持久性湿性啰音,并可因反复呼吸道感染反复住院,影响患者肺部及体格生长和发育,轻者可无临床表现。因远期并发症一旦发生,治疗效果较差,诊治的重点在于早期筛查和早期预防,以及早期诊断和治疗。

关键词:

Abstract: Long-term intrapulmonary complications of severe pneumonia primarily include chronic conditions that currently have no specific treatment,persist over time,and exert varying degrees of long-time or even life-long impact on patients. These complications occur following severe pneumonia,and mostly present as a continuous process of pneumonia,with no clear onset time. Common complications include organizing pneumonia,bronchiolitis obliterans/obliterative bronchitis,and bronchiectasis. Severe long-term complications can lead to symptoms such as shortness of breath,wheezing,dyspnea,and persistent moist rales in the lungs. They may also result in recurrent hospitalizations due to repeated respiratory infections,impairing both pulmonary and physical growth and development in patients,while milder cases may present no clinical symptoms. Once long-term complications occur,treatment outcomes are generally poor. Thus,the keys in diagnosis and treatment lie in early screening,prevention,diagnosis, and intervention.

Key words: severe pneumonia, long-term pulmonary complications, child, early screening