Follow-up study on survivors of pediatric ALI in short time
10.3760/cma.j.issn.1671-0282.2009.06.007
- VernacularTitle:小儿急性肺损伤的短期肺功能随访
- Author:
Yan LI
;
Hui CHEN
;
Quan WANG
;
Hengmiao GAO
;
Xiaochun RAO
;
Suyun QIAN
- Publication Type:Journal Article
- Keywords:
Children;
Acute lung injmy;
Acute respiratory distress syndrome;
Pulmonary function tests;
Follow-up
- From:
Chinese Journal of Emergency Medicine
2009;18(6):580-583
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the pulmonary functions of pediatric ALI/ARDS(acute lung injury/acute respiratory distress syndrome) survivors. Method A prospective cohort study of all survivors of ALI/ARDS in the PICU of Beijing Children's Hospital was performed. Patients were divided into three groups(0-3 years of age,3 ～ 7 years of age, and over 7 years of age) and followed up three months after diagnosis. Results There were 36 survivors in total of 44 ALl patients, three patients lost follow-up, 12 died and 21 survived. Five survivors refused to participate in the study because of asymptomatic, and one was unable to participate because of lymphoma com-bined with sepsis. A total of 15 children completed the whole survey (11 patients were less than 3 years old, andfour were over 7 years of age). Twelve patients had no discomfort in their respiratory tracts. Three months after be-ing enrolled, the pulmonary functions of all children improved, especially in terms of tidal volume and respiratory compliance (P<0.05). Conclusions The abnormal respiratory symptoms and signs in most children disap-peared three months after discharge. Most survivors still have pulmonary dysfunction at 3 monthes after discharge, but better than discharge.
