支气管镜介入治疗重症支原体肺炎临床价值

Application of bronchoscopy in management of severe mycoplasma pneumoniae pneumonia in children

支气管镜术在重症肺炎支原体肺炎诊治中的作用已经得到确定,包括:(1)对支原体肺炎伴肺不张进行支气管肺泡灌洗治疗;(2)对疑为塑型支气管炎进行诊断和治疗;(3)对气道炎症性狭窄球囊扩张成形术;(4)对临床治疗效果不佳或持续进展的肺炎进行诊断和治疗。临床研究提示,早期进行支气管镜干预可能更好地改善病情,缩短病程,改善预后。

The effects of bronchoscopy in the management of severe Mycoplasma pneumoniae pneumonia in children have been established. The application of this technique includes：（1）bronchoalveolar lavage（BAL）in the treatment of Mycoplasmal pneumonia complicated with pulmonary atelectasis;（2）the diagnosis and treatment of suspected plastic bronchitis associated with Mycoplasma pneumoniae infection;（3） balloon dilatation bronchoplasty in management of bronchial stenosis with mycoplasmal pneumonia;（4） the evaluation and the management in the nonresponding pneumonia or progressive pneumonia. Early application of bronchoscopy may be more beneficial to improve the symptoms and outcomes and shorten course of disease.