摘要
目的提高小儿肺不张的临床认识和治疗水平。方法对2005年5月至2010年5月期间71例经x线胸片确诊为肺不张住院患儿的临床特点进行总结和分析。结果发病年龄多为婴幼儿,8岁以下小儿59例,占83.1%,其中气管、支气管异物29例占40.8%,下呼吸道感染26例占36.6%,肺不张经治疗恢复者51例占71.8%,未恢复者9例占12.7%,死亡3例占4.2%,自动出院8例占11.3%。结论小儿肺不张常见的病因是异物、感染和分泌物梗阻,以右肺多见,明确诊断,解除梗阻,保持呼吸道通畅,改善肺泡气体交换,支气管镜检查术可作为主要手段。
Objective To improve pediatric atelectasis clinical recognition and treatment level.Methods From May 2005 to 2010 May 71 cases by X ray chest radiograph diagnosed atelectasis hospitalized children the clinical characteristics of carry on the summary and analysis.Results Onset ages for infants below 8 pediatric 59 patients,accounting for 83.1%,including the trachea and bronchial foreign body in 29 cases 40.8%,lower respiratory tract infection accounted for 26 patients 36.6%,atelectasis 51 cases the treatment of recovery accounted for 71.8%,fails to regain the 9 cases 12.7%,3 cases of death 4.2%,automatic discharge 8 cases of 11.3%.Conclusions Pediatric atelectasis common etiology is foreign body,infections and secretion obstruction,with mostly seen in right lung,a definitive diagnosis,removes obstruction,keeping respiratory tract unobstructed,improve the alveolar gas exchange,bronchoscopy can be used as the main means.
出处
《医药论坛杂志》
2011年第6期26-27,共2页
Journal of Medical Forum
关键词
肺不张
诊治分析
小儿
Atelectasis
Diagnosis analysis
Children
