Diagnosis and treatment of necrotizing pneumonia in children
10.3760/cma.j.issn.1673-4408.2021.08.006
- VernacularTitle:儿童坏死性肺炎诊治进展
- Author:
Minmin WANG
1
;
Yongdong YAN
Author Information
1. 苏州大学附属儿童医院呼吸科 215003
- Keywords:
Necrotizing pneumonia;
Children;
Diagnosis;
Treatment
- From:
International Journal of Pediatrics
2021;48(8):529-533
- CountryChina
- Language:Chinese
-
Abstract:
Necrotizing pneumonia (NP) is a serious complication of community-acquired pneumonia in children.In recent years, with the deepening understanding of pediatricians, reports on NP have increased year by year.The early lesion of NP is characterized by the consolidation of lung tissue.With the progression of the disease, the involved lung tissue appears liquefaction and necrosis, and eventually multiple cysts or cavities are formed.Clinical diagnosis is mainly based on imaging.Previous studies have shown that NP is mostly found in streptococcus pneumoniae and staphylococcus aureus infections.In recent years, mycoplasma pneumoniae has been found to be the main pathogen of necrotizing pneumonia, and adenovirus and influenza virus infections have also been frequently reported.On the basis of reasonable anti-infection treatment, most of the children have a good prognosis by treatement of glucocorticoid, gamma globulin, bronchoscope lavage, closed thoracic drainage, etc.
