80例0-3岁毛细支气管炎患儿临床病例分析

Clinical analysis of 0-3 years old children with capillary bronchitis

目的分析0~3岁毛细支气管炎患儿发病的临床特点,为临床诊断与治疗提供依据。方法对2011年6月—2013年6月惠州市第一妇幼保健院收治确诊为毛细支气管炎80例患儿的临床资料进行回顾,对患儿流行病学资料、临床表现、症状、体征及辅助检查等内容进行统计学分析。结果毛细支气管炎疾病多发于冬春季;症状以咳嗽、喘憋及肺部听诊哮鸣音为主,占发病人群的100%;痰培养显示细菌感染率为33.7%,肺炎支原体感染率为13.7%;抗菌药物仅限制应用于痰培养显示阳性的患儿,临床治疗药物主要以糖皮质激素激素联合β2受体激动剂为基础,并进行对症治疗。结论 0~3岁毛细支气管炎患儿发病具有季节性规律,且临床症状以咳嗽、喘憋及肺部听诊哮鸣音为主,应密切分析感染类型,为合理用药提供依据。

Objective To summarize the clinical characteristics of the 0- 3 years old children with capillary bronchitis disease,and to provide the basis for clinical diagnosis and treatment. Methods The clinical data of 80 cases diagnosed as capillary bronchitis were reviewed from June 2011 to June 2013 in our hospital,the epidemiological data,clinical manifestations,symptoms,signs and auxiliary examination content were collected for statistical analysis. Results Capillary bronchitis disease happened in winter; symptom was given priority to with cough and asthma suppress and wheezing sound,accounting for 100% of the onset of the crowd; sputum culture showed bacteria infection rate of 33. 7%,mycoplasma pneumoniae infection rate was 13. 7%; antimicrobial drugs were only limitedly applied to children,sputum culture show positive clinical treatment mainly with glucocorticoid hormone based joint beta 2 agonists,and symptomatic treatment. Conclusion Capillary bronchitis disease in 0- 3 years old children had a seasonal pattern,clinical symptoms as cough,asthma and suppress lung auscultation and wheezing sound were given priority to,type of infection should be closely analyzed to provide basis for rational drug use.