Effect observation on bronchoalveolar lavage in the treatment of severe Mycoplasma pneumonia in children under fiber bronchoscope
LIU Qing-biao1, LUO Hui-chang2, XU Bo-hua1, LI Shi-yu1, ZHANG Yu-ling1
1.Department of Pediatrics,the Donghua Hospital Affiliated to Sun Yat-sen University,Guangdong Province,Dongguan 523110,China; 2.Department of Hemodialysis Room,the Donghua Hospital Affiliated to Sun Yat-sen University,Guangdong Province,Dongguan 523110,China
Abstract：Objective To explore the application value of bronchoalveolar lavage in the treatment of severe Mycoplasma pneumonia in children under fiber bronchoscope.Methods A total of 100 pediatric patients who were diagnosed with severe Mycoplasmal pneumonia by X-ray,CT and laboratory indicators in our hospital from January 2015 to December 2016 were selected as research objects.The etiology was exclusively due to inflammation by fiber bronchoscope ruling out of foreign substance,deformity,tumor,and nodule.According to different therapeutic methods,they were divided into two groups.Regular applications of ventilator-assisted respiration,anti-infection,nutritional support,and symptomatic treatment were provided in both groups.In observation group(n=50),bedside sputum suction by fiber bronchoscope,lavage,and drug injection were provided,while in control group(n=50),sputum suction tube and humidifying for treatment were adopted.The effect and safety in the two groups were observed.Results The therapeutic effective rate was 96.0% in the observation group and 76.0% in the control group,with a statistical difference between the two groups (P<0.05).In comparison with the cough,chest pain,lung rale,and time of X-ray absorption in the lung,those in the observation group were much shorter than those in the control group,which were displayed statistical differences(P<0.01).In the observation group,2 cases were occurred with the complications,including 1 case of nasal bleeding and 1 case of postoperative fever,accounting for 4.0% in all.The complications were improved after symptomatic treatment.No complications occurred in the control group,which was not displayed a statistical difference after comparison.Conclusion Under fiber bronchoscope,bronchoalveolar lavage has a remarkable effect on severe mycoplasma pneumonia in children,which is safe and effective.
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LIU Qing-biao, LUO Hui-chang, XU Bo-hua, LI Shi-yu, ZHANG Yu-ling. Effect observation on bronchoalveolar lavage in the treatment of severe Mycoplasma pneumonia in children under fiber bronchoscope. 中国当代医药, 2017, 24(25): 107-109.
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