中国实用儿科杂志 ›› 2026, Vol. 41 ›› Issue (3): 208-211.DOI: 10.19538/j.ek2026030607

• 专题笔谈 • 上一篇    下一篇

儿童重症肺炎近期肺部并发症

  

  1. 南京医科大学附属儿童医院呼吸科,江苏  南京  210000
  • 出版日期:2026-03-06 发布日期:2026-04-22
  • 通讯作者: 赵德育,电子信箱:zhaodeyu988@126.com

Recent pulmonary complications of severe pneumonia in children

  1. Department of Respiratory Medicine,Children’s Hospital Affiliated to Nanjing Medical University,Nanjing  210000,China
  • Online:2026-03-06 Published:2026-04-22

摘要: 儿童重症肺炎近期肺部并发症是导致患儿肺部病情加重、住院时间延长的重要原因,同时也可引起远期并发症如闭塞性细支气管炎、支气管扩张、毁损肺等,严重者还会导致死亡。近年来,随着儿童肺炎感染病原谱的改变,病原体耐药的增加,肺内近期并发症除常见的肺不张、脓胸、脓气胸、肺脓肿及坏死性肺炎外,出现了既往少见的并发症如肺栓塞、塑形性支气管炎等。文章将对重症肺炎近期肺内并发症的临床特征、诊断方法及处理原则进行阐述,以期为临床早期发现并及时处理重症肺炎近期肺部并发症、减少远期并发症、降低儿童肺炎的病死率提供帮助。

关键词:

Abstract: Recent pulmonary complications of severe pneumonia in children are an important reason for the aggravation of their lung conditions and the prolongation of hospital stay. They can also cause long-term complications such as oblusive bronchiolitis,bronchiectasis,and lung damage. In severe cases,they can even lead to death. In recent years,with the change of the pathogen spectrum of pneumonia infection in children and the increase in pathogen drug resistance,in addition to the common pulmonary complications such as atelectasis,empyema,pyopneumothorax,lung abscess and necrotizing pneumonia,previously rare complications such as pulmonary embolism and plastic bronchitis have emerged in the recent pulmonary complications. This article will elaborate on the clinical characteristics,diagnostic methods and management principles of short-term pulmonary complications of severe pneumonia,with the aim of being helpful for the early detection and timely management of short-term pulmonary complications of severe pneumonia,reducing long-term complications and lowering the mortality rate of pneumonia in children.

Key words: child, severe pneumonia, recent pulmonary complications