摘要
目的探讨肺炎支原体肺炎患儿肺部后遗症的相关危险因素。方法对341例肺炎支原体肺炎患儿的临床资料进行回顾性分析，根据患儿急性期后2个月胸部X线平片或肺部CT表现将患儿分为观察组和对照组，每组34例，观察组患儿为遗留肺部后遗症患儿，对照组为无后遗症的患儿，分析两组患儿年龄、性别、热程、症状、体征、肺部病变部位、病变类型、外周血白细胞计数、红细胞沉降率、C-反应蛋白水平、抗生素、丙种球蛋白、糖皮质激素应用情况等。结果观察组肺不张30例、支气管扩张3例，闭塞性细支气管炎1例。经Logistic回归分析显示，患儿热程〉10d、胸腔积液、病变部位位于右上肺、X线显示有大片阴影、患儿存在肺外并发症者发生肺部后遗症的危险性较高，其中胸腔积液是患儿出现肺部后遗症较强的危险因素（OR=7．684，P〈0．01）。结论患儿热程〉10d、胸腔积液、病变部位位于右上肺、X线显示有大片阴影、患儿存在肺外并发症者发生肺部后遗症的危险性较高，临床治疗应予以注意。
Objective To explore the risk factors of pulmonary complications in children with mycoplasma pneumoniae pneumonia. Methods Clinincal data of 341 children with mycoplasma pneumonia were retrospectively analyzed. Children under 2 months were divided into study group and control group according to X-ray or lung CT, the study group of children left lung sequelae in children and the control group without sequelae. Using statistical analysis methods to study the children age, sex, hot process, symptoms, signs,lung lesions,lesion type, white blood cells, erythrocyte sedimentation rate, C-reactive protein, antibiotics, gamma globulin, glucocorticoid application. Results At electasis 30 cases, 3 cases of bronchiectasis, bronchiolitis obliterans in 1 case. Logistic regression analysis showed that children fever 〉 10d, pleural effusion, lesion in the right upper lung, X-ray showed a large shadow, pulmonary complications in children with pulmonary high risk of complications, including chest plot sequelae in children with lung fluid was a strong risk factor （ P 〈0. 01, OR = 7. 684）. Conclusion Children of fever 〉 lOd, pleural effusion,lesion in the right upper lung, X-ray showed a large shadow, pulmonary complications in children with pulmonary high risk of com- plications, clinical treatment should be noted.
出处
《中国基层医药》
CAS
2012年第6期812-813,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肺炎
支原体
后遗症
因素分析
统计学儿童
Pneumonia, mycoplasma
Complications
Factor analysis, statical
Child
