儿童大叶性肺炎50例临床分析

Children with lobar pneumonia: clinical analysis of 50 cases

目的:了解儿童大叶性肺炎的临床特点及治疗转归。方法:对50例儿童大叶性肺炎进行回顾性分析结果:儿童大叶性肺炎以发热和(或)咳嗽为主要表现,肺部体征阴性者60%。病程5天以上者占76%,胸片或肺部CT显示节段或呈肺叶分布的大片密度增高影。治疗疗程一般2周左右,多采用三代头孢类药物联合青霉素或三代头孢类药物联合阿奇霉素。结论:儿童大叶性肺炎发病有增高趋势,症状不典型,主要靠胸片或肺部CT确诊,治疗联合用药。

Objective To explore children with lobar pneumonia the clinical features and treatment outcomes. Methods 50 cases of children with lobar pneumonia were retrospectively analyzed. Results in children with lobar pneumonia with fever and （ or ）cough as the main performance, pulmonary symptoms and negative60%. The clinical course of 5days or more for 76%, chest or pulmonary CT display segment or a lobar distribution of large high density shadow. Treatment is generally about 2 weeks, with three generation cephalosporins and penicillins or three generation cephalosporins with azithromycin. Conclusion children with lobar pneumonia incidence has increased trend, atypical symptoms, mainly rely on the chest or pulmonary CT diagnosis, therapy combined with medication.