临床儿科杂志 ›› 2016, Vol. 34 ›› Issue (7): 526-.doi: 10.3969 j.issn.1000-3606.2016.07.012

• 综合报道 • 上一篇    下一篇

儿童感染后闭塞性细支气管炎35 例临床特点及随访研究

周妍杉, 李渠北   

  1. 重庆医科大学附属儿童医院呼吸科 儿童发育疾病研究教育部重点实验室 儿童发育重大疾病国家 国际科技合作基地 认知发育与学习障碍转化医学重庆市重点实验室(重庆 400014)
  • 收稿日期:2016-07-15 出版日期:2016-07-15 发布日期:2016-07-15
  • 通讯作者: 李渠北 E-mail:liqubei@126.com

Clinical features and follow-up of 35 children with post-infectious bronchiolitis obliterans

ZHOU Yanshan, LI Qubei   

  1. Children’s Hospital Affiliated to Chongqing University, Chongqing 400014, China
  • Received:2016-07-15 Online:2016-07-15 Published:2016-07-15

摘要: 目的 分析感染后闭塞性细支气管炎(PIBO) 患儿临床特点、治疗及预后。方法 回顾性分析诊断为PIBO的35 例患儿临床资料,根据激素使用时间进行分组,比较各组预后的差异。结果 35 例患儿均以咳嗽及喘息为主要表现,糖皮质激素治疗时间< 1 年组12 例、1 ~ 2年组8 例、> 2 年组6 例,各组间预后差异无统计学意义(P > 0.05)。结论 儿童感染后闭塞性细支气管炎以腺病毒感染最常见,总体预后不佳,即使症状有所改善,CT病灶吸收仍不明显。糖皮质激素能有效缓解患儿咳嗽及喘息症状,但长时间使用可能对预后无显著影响。

Abstract: Objective To analyze the clinical characteristics, treatment, and prognosis of post-infectious bronchiolitis obliterans (PIBO) in children. Methods Clinical data from 35 children diagnosed with PIBO were retrospectively analyzed from April 2010 to June 2015. The children were divided into different groups according to the length of glucocorticoid use, and the prognosis were compared. Results Thirty-five children all presented cough and wheezing. There were 12 cases in the group of less than one year of glucocorticoid treatment, 8 cases in the group of 1-2 years of glucocorticoid treatment, and 6 cases in the group of great than or equal to 2 years of glucocorticoid treatment. There was no significant difference in the prognosis among the groups (P > 0.05). Conclusions The overall prognosis is poor in children with PIBO, even if the symptoms are improved. Glucocorticoid is helpful to remiss the symptoms of cough and wheezing, but prolonged use have no significant effect on the prognosis.