关键词: 肺炎, 支原体, 纤维支气管镜, 诊疗, 儿童

Abstract: AbstractObjectiveTo probe morphologic features of mycoplasma pneumonia under flexible bronchoscope.To observe interposing therapeutic effect of mycoplasma pneumonia by bronchoscopy. MethodsThe study was performed in 170 patients with mycoplasma pneumonia.The blood mycoplasma antibody was 1∶320 at least.The radiographic sternum of 68.2% patients showed atelectasis,and 22.9% showed pleural effusion or pleurisy.All patients were performed flexible bronchoscopy. ResultsUnder flexible bronchoscope,it was obvious in all patients that bronchial mucosa roughness,swelling,and secretion attachment were shown.Meanwhile in some patients bronchoscopy showed blood vessel becoming gross(68.8%),upright crease (38.2%),mucosa piebald shape(14.1%),mucosa crypts nodule(11.2%),mucosa anabrosis(2.9%).Some patients had tube debouchement inflammatory stenosis(55.3%),even occlusion(15.9%),segmental bronchi ventilation lack(70.6%).Most of intraluminal secretion showed translucent or hoar dope.Some formed mucous plug blocking bronchi(27.1%).Through therapy,all patients got improvement.The times of intervention therapy were from one to four in 82.9% of the patients,at most ten. ConclusionMycoplasma pneumonia can supervene with atelectasis.Under flexible bronchoscope,main features of mycoplasma pneumonia are bronchial mucosal lesion,mucous plug blocking,tube debouchement inflammatory stenosis and occlusion,and segmental bronchi ventilation lack.It is beneficial to shorten course of disease by early applying flexible bronchoscope by diagnose and treat patients with mycoplasma pneumonia.

Key words: Diagnosis and Treat, Children , Mycoplasma, Flexible Bronchoscope