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小儿肺炎旁胸腔积液31例临床分析 被引量:6

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摘要 目的 总结小儿肺炎旁胸腔积液的病因和临床特点以指导临床诊疗.方法 分析伴有肺炎旁胸腔积液的31例患儿的发病年龄、发病季节、病原学、影像学特点和治疗效果等临床资料.结果 31例患儿中以支原体感染19例(63.3%)为主要原因;细菌感染6例(5.16%).其中合并败血症1例,肺不张2例,肺脓肿1例,心包积液2例,先天性肺发育不良1例,中耳炎听力减退1例.病因不明6例.经3~5 d治疗,多数预后良好.结论 小儿肺炎旁胸腔积液以支原体感染占首位,常为混合感染,有明显的年龄特点,影像学改变均为大叶性肺炎,特别以右侧多见,肺部呈实变体征,罗音及胸片可游走性变化,高热中毒症状明显.强调综合治疗,合并基础体质疾病,预后不良.
作者 曹丽 周映红
出处 《中国中西医结合儿科学》 2014年第2期171-172,共2页 Chinese Pediatrics of Integrated Traditional and Western Medicine
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