Original Article
Bronchoscopy in the clinical application of lobar pneumonia in children
Jiaxing Xu, Yuneng Lin, Shangzhi Wu, Qingsi Zeng, Yu Deng, Wenkuan Liu, Wenda Guan, Xuefeng Niu, Danhong Su, Dehui Chen
Published 2017-02-05
Cite as Int J Respir, 2017, 37(3): 189-193. DOI: 10.3760/cma.j.issn.1673-436X.2017.03.007
Abstract
ObjectiveTo investigate the clinical characteristics of children lobar pneumonia and bronchoscopic diagnosis and treatment effect.
Methods210 cases of pediatric hospitalization in children with lobar pneumonia, which bronchoscopy group 122 cases, 88 cases of medical treatment group were selected from the First Affiliated Hospital of Guangzhou Medical University, January 2012 to December 2014.Statistical analysis of its clinical manifestations, etiology inspection data.Medical treatment group were given anti-infective, and phlegm and other drugs for treatment, bronchoscopy in the group on the basis of medical treatment using bronchoscopy lavage interventional treatment.Close observation of the number of days of hospitalization of children with fever of remission, remission time cough, pulmonary rales disappeared time.
ResultsDays of hospitalization, fever and cough relief time and pulmonary rales disappeared time in bronchoscopy group were significantly shorter than those in medical treatment group (P<0.05), while there was no significant difference in radiological manifestation between two groups (P>0.05). All the above observations were significantly improved in patients with severe pneumonia undergoing optimal medical therapy with bronchoalveolar lavage compared with those treated without bronchoalveolar lavage (P<0.05).
ConclusionsThe lobar pneumonia in children with medical treatment based on bronchoscopic intervention, can promote disease recovery, especially in severe lobar pneumonia.
Key words:
Lobar pneumonia; Bronchoscopy; Children
Contributor Information
Jiaxing Xu
Department of Pediatrics, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China
Yuneng Lin
Shangzhi Wu
Qingsi Zeng
Yu Deng
Wenkuan Liu
Wenda Guan
Xuefeng Niu
Danhong Su
Dehui Chen