Clinical study and analysis of 700 cases of pneumonia in children

Hui We, Fangfang Qu, Lei Sun, Yajie Lei, Rui Wang
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引用次数: 2

Abstract

Introduction: Pneumonia is a common acute disease of the respiratory tract in childhood. In this paper, 700 cases of pneumonia in Changan Hospital of Xi’an city [1-3] were summarized. All seasons are easy to occur, especially in winter and spring. It is easy to recurrent attacks affect the growth and development of children, if the treatment is not complete. The clinical data of the children are reported as follows: Background: From January 2016 to December 2016, 700 cases of children pneumonia in Changan hospital in Xi’an were investigated in 1 pairs of 1 [4]. Among the 700 children, 437 were boys and 263 were women; 252 cases aged 2 were occupied 23%. Accessory Examination: In 700 cases of chest radiography,23 cases of lobar pneumonia accounted for 3.28% of the total. 87 cases of double pulmonary bronchitis were 12.42%, 488 cases of bronchitis were 69.71%, 11 cases of interstitial pneumonia were 15.71%,and 4 cases of lobule in chest.198 cases of WBC ≥ 10 were 28.28%, 76 cases of neutrophils ≥ 70 were 10.86%,402cases of lymphoid ≥ 40 were 57.43%, 267 cases of mononuclear ≥ 10 were 38.14%.196 cases of syncytial virus positive were took up 28%,4 cases of adenovirus positive were made up 0.57%, 3 cases of influenza virus positive were occupied 0.43% [5-7]. Complication: 2 cases of combined respiratory failure accounted for 0.28%,13 cases of combined enteritis were 1.85%,8 cases of combined myocardial injury were 1.14%, 1 case of combined heart failure were 0.14%,1 case of combined Anemia were 0.14%,2 cases of combined laryngitis were 0.28%. Treatment: 368 cases of the second generation cephalosporin’s +antivirus were 52.57%,183 cases of the third generation cephalosporin’s + antivirus were 26.14%,129 cases of Cephalosporin +Archie were 18.43%, 20 cases of Penicillin + antiviral were 2.85%,23 cases of >14 days of treatment were 3.28%,72 cases of 7-10 days of treatment were 10.28%,545 cases of 5-7 days of treatment were 77.86%, 60 cases of <5 days of treatment were 8.57%. Result: Treatment, Infantile pneumonia is the main anti infection and treat the complications. At the time of anti-infection, a wide range of antimicrobial spectrum, less drug resistant bacteria, and low toxicity of liver and kidney are used, combined use of two kinds of broad-spectrum antibiotics, Such as cephalosporin’s, macrolides,and antiviral drugs, and give oxygen therapy, nutritional support, Correcting the acid-base balance and electrolyte disturbance in some children, actively dealing with the complications and avoiding heart failure.
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儿童肺炎700例临床分析
肺炎是儿童期常见的急性呼吸道疾病。本文总结了西安市长安医院700例肺炎病例[1-3]。一年四季都容易发生,尤其是冬季和春季。如果治疗不彻底,很容易反复发作,影响儿童的生长发育。研究背景:2016年1月至2016年12月,对西安市长安医院700例儿童肺炎进行1对1的调查[4]。在这700名儿童中,437名是男孩,263名是女性;2岁252例,占23%。辅助检查:700例胸片中,大叶性肺炎23例,占3.28%。双肺支气管炎87例(12.42%),支气管炎488例(69.71%),间质性肺炎11例(15.71%),胸部小叶性肺炎4例。白细胞≥10例198例占28.28%,中性粒细胞≥70例76例占10.86%,淋巴细胞≥40例402例占57.43%,单核细胞≥10例267例占38.14%。合胞病毒阳性196例,占28%,腺病毒阳性4例,占0.57%,流感病毒阳性3例,占0.43%[5-7]。并发症:合并呼吸衰竭2例占0.28%,合并肠炎13例占1.85%,合并心肌损伤8例占1.14%,合并心力衰竭1例占0.14%,合并贫血1例占0.14%,合并喉炎2例占0.28%。治疗:第二代头孢菌素+抗病毒368例占52.57%,第三代头孢菌素+抗病毒183例占26.14%,头孢菌素+阿奇129例占18.43%,青霉素+抗病毒20例占2.85%,>14天治疗23例占3.28%,7-10天治疗72例占10.28%,5 -7天治疗545例占77.86%,<5天治疗60例占8.57%。结果:治疗中,小儿肺炎以抗感染和治疗并发症为主。抗感染时使用抗菌谱广、耐药菌少、对肝肾毒性低的抗菌药物,联合使用头孢菌素类、大环内酯类和抗病毒药物等两种广谱抗生素,并给予氧疗、营养支持,纠正部分患儿酸碱平衡和电解质紊乱,积极处理并发症,避免心力衰竭。
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