摘要
目的分析支气管肺炎患儿的临床特征及表现,为临床诊治支气管肺炎患儿提供理论指导。方法选取该院儿科2014年10月-2016年10月月收治的100例确诊支气管肺炎患儿进行回顾性分析,根据患儿的病情程度分为重症组35例、轻症组65例,对比两组患儿的各项临床特征、实验室指标、临床表现。结果重症组和轻症组患儿的性别、喂养方式差异无统计学意义(χ~2=0.017、0.798,均P>0.05);重症组患儿的出生体质量、分娩孕周、年龄分布与轻症组患儿比较差异均有统计学意义(t=2.327、2.384、10.746,均P<0.05);重症组的发热、肺部啰音、腹泻、呕吐、肺部纹理增多、肝大及心率均显著高于轻症组患儿,差异有统计学意义(χ~2=3.053、4.62、6.938、5.896、10.017、7.778,t=3.310,均P<0.05);两组间肺节段性实变、肺不张及咳嗽的发生率差异无统计学意义(χ~2=3.79、1.876、0.00,P>0.05);重症组的天冬氨酸氨基转移酶(AST)、乳酸脱氧酶(LDH)、α-羟丁酸脱氢酶(α-HBDH)、肌酸激酶(CK)、高敏肌钙蛋白(hs-cTnT)异常率均显著高于轻症组患儿,差异有统计学意义(χ~2=23.077、30.092、26.064、22.155、27.175,均P<0.05)。结论重症支气管肺炎患儿的临床表现、一般资料、实验室指标多数与轻症患儿差异有统计学意义,综合考虑有利于明确患儿的病情程度,为临床诊治提供指导建议。
Objective To analyze the clinical features and manifestations of children with bronchopneumonia,provide theoretical guidance for clinical diagnosis and treatment of children with bronchopneumonia. Methods One hundred children diagnosed as bronchopneumonia definitely in Department of Pediatrics in the hospital from October 2014 to October 2016 were retrospectively analyzed,then they were divided into severe bronchopneumonia group（ 35 children） and mild bronchopneumonia group（ 65 children） according to severity of the disease. The clinical characteristics,laboratory indicators,and clinical manifestations in the two groups were compared. Results There was no statistically significant difference in gender and feeding patterns between severe bronchopneumonia group and mild bronchopneumonia group（ χ^2= 0. 017,0. 798,all P〉0. 05）; there were statistically significant differences in birth weight,gestational age,and age distribution between the two groups（ t = 2. 327,2. 384,10. 746,all P〈0. 05）; the incidence rates of fever,pulmonary rales,diarrhea,v omiting,increase of lung markings,hepatomegaly,and heart rate in severe bronchopneumonia group were statistically significantly higher than those in mild bronchopneumonia group（ χ^2= 3. 053,4. 62,6. 938,5. 896,10. 017,7. 778,t = 3. 310,all P〈0. 05）; there was no statistically significant difference in the incidence rates of pulmonary segmental consolidation and atelectasis between the two groups（ χ^2= 3. 79,1. 876,0. 00,P〉0. 05）; the abnormal rates of aspartic transaminase（ AST）,lactate dehydrogenase（ LDH）,α-hydroxybutyrate dehydrogenase（ α-HBDH）,creatine kinase（ CK）,and high-sensitivity cardiac troponin（ hs-cTnT） in severe bronchopneumonia group were statistically significantly higher than those in mild bronchopneumonia group（ χ^2= 23. 077,30. 092,26. 064,22. 155,27. 175,all P〈0. 05）. Conclusion There are statistically significant differences in clinical manifestations,general information,and laboratory indexes between children with severe bronchopneumonia and children with mild bronchopneumonia. Comprehensive consideration can identify the severity of bronchopneumonia in children and provide guidance for clinical diagnosis and treatment.
出处
《中国妇幼保健》
CAS
2017年第12期2661-2663,共3页
Maternal and Child Health Care of China
关键词
支气管肺炎
临床特征
指导
重症
Bronchopneumonia
Clinical feature
Guidance
Servious illness
