气管支气管异物患儿继发肺部感染相关因素分析

温鑫; 史静; 崔莉; 王亚芳; 黄爱萍; 刘莹莹; 宋英鸾

doi:10.13201/j.issn.1001-1781.2019.12.020

气管支气管异物患儿继发肺部感染相关因素分析

- 1. 河北医科大学附属河北省儿童医院耳鼻咽喉科(石家庄, 050031);
- 2. 河北医科大学附属河北省儿童医院麻醉科
基金项目:
河北省医学科学研究课题(No:20190804)

详细信息

通讯作者: 宋英鸾,E-mail:1944674956@qq.com

中图分类号: R768.1

收稿日期: 2019-04-22

Analysis of related factors of secondary pulmonary infection in children with tracheobronchial foreign body

- 1 Department of Otolaryngology, Hebei Children's Hospital Affiliated to Hebei Medical University, Shijiazhuang, 050031, China;
- 2 Department of Anesthesiology, Hebei Children's Hospital Affiliated to Hebei Medical University

More Information

Corresponding author: SONG Yingluan, E-mail: 1944674956@qq.com

Received Date: 22 April 2019

摘要

摘要: 目的:分析气管支气管异物患儿继发肺部感染的情况以及病原菌分布,以指导临床治疗。方法:回顾197例经硬性支气管镜检查证实为气管支气管异物患儿的临床资料。根据患儿临床表现及体征、血常规、胸部CT以及气道内分泌物病原菌分布情况,分析继发肺部感染的原因。结果:197例气管支气管异物患儿有75例继发肺部感染,其中32例气道内分泌物培养出病原菌,主要为肺炎链球菌及流感嗜血杆菌。术前病史长、发热及应用抗生素的患儿更易继发肺部感染。结论:病史长短、术前发热及应用抗生素等因素与继发肺部感染有关,三代头孢抗生素可有效控制感染。
- 气管支气管 /
- 异物 /
- 肺部感染
Abstract: Objective: To analyze the secondary pulmonary infection and the distribution of pathogenic bacteria in children with tracheobronchial foreign body, and to guide the clinical treatment. Method: The clinical data of 197 children with tracheobronchial foreign bodies confirmed by rigid bronchoscopy were reviewed. According to the clinical manifestations and signs, blood routine, chest CT and airway endocrine pathogen distribution, the secondary pulmonary infection was analyzed. Result: Seventy-five of 197 children with foreign bodies in tracheobronchial had secondary pulmonary infections. Among them, 32 cases of airway endocrine cultured pathogenic bacteria, mainly including Streptococcus pneumoniae and Haemophilus influenzae. Children with long preoperative history, fever, and with a history of using antibiotics are more likely to have secondary pulmonary infections.Conclusion: The duration of disease history, preoperative fever and the use of antibiotics are related to secondary pulmonary infection. The third generation of cephalosporins can effectively control the infection.
- tracheobronchial /
- foreign bodies /
- pulmonary infection

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参考文献(8)

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