儿科药学杂志2024，Vol.30Issue(6)：41-44,4.DOI:10.13407/j.cnki.jpp.1672-108X.2024.06.011
肺泡灌洗术联合肺表面活性物质治疗1例儿童外源性脂质性肺炎并文献复习
Alveolar Lavage Combined with Pulmonary Surfactant in the Treatment of a Child with Exogenous Lipid Pneumonia and Literature Review
韩洁 1叶泽慧 1杨洋1
作者信息
- 1. 重庆医科大学附属儿童医院,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿童代谢与炎症性疾病重庆市重点实验室,重庆 400014
- 折叠
摘要
Abstract
Objective:To probe into the application value of bronchoscopic alveolar lavage combined with pulmonary surfactant in the treatment of a child with exogenous lipid pneumonia.Methods:Clinical diagnosis and treatment data of a child with exogenous lipid pneumonia admitted into our hospital were collected,and the relevant literature were retrospectively analyzed.Results:Following accidental aspiration of oily diluent,the child developed cough,progressive aggravation of shortness of breath,decreased blood oxygen saturation,and increased blood inflammation indicators,chest computed tomography(CT)revealed multiple pulmonary lesions bilaterally.After the diagnosis of exogenous lipid pneumonia,the child was given bronchoscopic alveolar lavage in time and combined with pulmonary surfactant for the first time.Meanwhile,non-invasive positive pressure ventilation,antibiotics,and glucocorticoids atomization were given.Clinical manifestations of cough,shortness of breath,hypoxemia and chest imaging were improved significantly in a short period of time.Conclusion:Early application of bronchoscopic alveolar lavage combined with pulmonary surfactant in children with exogenous lipoid pneumonia has significant clinical efficacy and is of great clinical promotion value.关键词
儿童/外源性脂质性肺炎/胸部计算机断层扫描/经支气管镜肺泡灌洗术/肺表面活性物质Key words
children/exogenous lipid pneumonia/chest computed tomography/bronchoscopic alveolar lavage/pulmonary surfactant分类
医药卫生引用本文复制引用
韩洁,叶泽慧,杨洋..肺泡灌洗术联合肺表面活性物质治疗1例儿童外源性脂质性肺炎并文献复习[J].儿科药学杂志,2024,30(6):41-44,4.
