Abstract
Objective To analyze the clinical manifestations of mycoplasma neumonia pneumonia blocked with glutinosity secretions from the bronchioles. Methods Retrospective analysis was performed on the clinical data of 51 children.The patients were divided into a blocked group and an unblocked group according the performance of flexible bronchoscopy.The clinical manifestations, laboratory examination, radiological features and bronchofibroscopic fin-dings from the children were compared. Results The blocked group had 20 children (7 boys and 13 girls); the unblocked group had 31 children (16 boys and 15 girls). Compared with the unblocked group, the blocked group had longer fever duration[(15.2±7.6) d vs (8.5±3.9)d, t=2.801, P 0.05). It was seen that in the blocked group that chest CT scan indicated high density consolidation in no less than a whole pulmonary lobe and pulmonary necrosis more frequently seen in the blocked group (10.0%); there were 7 cases(22.6%)with pleural effusion in the unblocked group, and 14 cases(70.0%)with pleural effusion in the blocked group. Conclusions Flexible bronchoscopy can be used optionally in most of the children with mycoplasma neumonia pneumonia, and if there is a lasting high fever for more than 10 days, with slight cough and lassitude, chest CT scan indicating high density consolidation involved a whole pulmonary lobe and pleural effusion, or CRP and LDH significantly higher, there is possibility that bronchiole secretions might block the respiratory tract, and in such a case earlier bronchofibroscopic bronchoclysis could be done to shorten the course of disease and reduce complications as well. Key words: Mycoplasma Pneumoniae; Pneumonia; Child
Published Version
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