山东医药2025，Vol.65Issue(4)：10-15,6.DOI:10.3969/j.issn.1002-266X.2025.04.003
儿童感染后继发性机化性肺炎的诊断与治疗
Diagnosis and treatment of secondary organizing pneumonia in children after infection
桑梦鸿 1张淑艳 1张素琴1
作者信息
- 1. 郑州大学第一附属医院儿童呼吸内科,河南 郑州 450000
- 折叠
摘要
Abstract
Objective To summarize the clinical diagnosis and treatment of secondary organizing pneumonia(SOP)in children after infection.Methods We retrospectively analyzed the clinical data of a child with SOP after infection,and reviewed the reported cases of pediatric SOP through literature search.Results The patient presented with persis-tent dry cough as the main clinical symptom.The chest CT imaging and bronchoscopy biopsy results were consistent with SOP,and the diagnosis was post-infectious SOP;the CT lesions were significantly absorbed with anti-infection and steroid therapy.Eleven cases of SOP children with a variety of etiology and intricate and varied imaging presentations were docu-mented after a survey of the literature.The majority of cases had a high survival rate and responded favorably to glucocorti-coid therapy.Conclusions The diagnosis of SOP in children after infection requires the integration of clinical manifesta-tions,imaging,bronchoscopy biopsy,and pathology,with pathology being the gold standard.Early diagnosis and the ad-ministration of anti-infection and hormone therapy lead to a good prognosis.关键词
机化性肺炎/继发性机化性肺炎/感染/儿童/病理检查/激素Key words
organizing pneumonia/secondary organizing pneumonia/infection/children/pathological examina-tion/glucocorticoid分类
医药卫生引用本文复制引用
桑梦鸿,张淑艳,张素琴..儿童感染后继发性机化性肺炎的诊断与治疗[J].山东医药,2025,65(4):10-15,6.
