A clinical analysis of protracted bacterial bronchitis in 102 children in Qingdao Area
10.3760/cma.j.issn.1673-4912.2021.11.007
- VernacularTitle:青岛地区102例儿童迁延性细菌性支气管炎临床特征分析
- Author:
Dong GUAN
1
;
Xiaoli WANG
;
Haiyan LI
;
Xingchang ZHENG
Author Information
1. 青岛市中医医院外科 266000
- Keywords:
Protracted bacterial bronchitis;
Children;
Clinical Features;
Prognosis
- From:
Chinese Pediatric Emergency Medicine
2021;28(11):968-971
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical characteristics of 102 children with protracted bacterial bronchitis in Qingdao area.Methods:One hundred and two children with protracted bacterial bronchitis treated at respiratory clinic of Women and Children′s Hospital affiliated to Qingdao University from January 2016 to March 2021 were included in this study.The clinical data, age and seasonal distribution, etiology, clinical manifestations, high-resolution CT of the lungs, characteristics of lung function, bronchoscopy and treatment prognosis were retrospectively analized.Results:The top three pathogens of protracted bacterial bronchitis in 102 children (55 boys, 47 girls, median age: 1.7 (0.8, 4.2)years were Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis, with frequency of 12.75%, 10.78%, and 6.86%, respectively.The onset season was mainly autumn and winter, with a total of 73 (71.57%) cases.The main clinical manifestations were wet cough and (or) wheezing, and the cough was not divided between day and night.CT of the lungs showed thickening of the bronchial wall in 16(15.69%) cases and uneven ventilation in 5(4.90%) cases.Twenty-three (22.55%) cases had abnormal lung function.Fifty-two (50.98%) cases underwent bronchoscopy, of which 33(32.35%) cases had multiple lung segmental purulent changes under the microscope.After standard anti-infection, bronchoscopy and alveolar lavage, expectorant and physical therapy, the prognosis was mostly good.Conclusion:The clinical manifestations of protracted bacterial bronchitis in children have no obvious specificity.Early diagnosis, identification of the cause and comprehensive management are critical to its prognosis.
