摘要
Abstract
Objective:To analyze the clinical features,bronchoscopic features and influencing factors of secondary bronchiectasis in children with Mycoplasma pneumoniae pneumonia.Method:The clinical data of 55 children with secondary bronchiectasis with Mycoplasma pneumoniae pneumonia admitted to Quanzhou Women's and Children's Hospital from January 2023 to June 2024 were retrospectively collected as the dilated group,and the clinical data of another 55 children with Mycoplasma pneumoniae pneumonia without secondary bronchiectasis during the same period were selected as the non-dilated group.The clinical features and bronchoscopic features of the two groups were compared,and the influencing factors of secondary bronchiectasis in children with Mycoplasma pneumoniae pneumonia were investigated by unifactorial and multifactorial analysis.Result:The heating time of dilated group was longer than that of non-dilated group,the levels of C-reactive protein,D-dimer,serum lactate dehydrogenase(LDH)and the proportion of pleural effusion were higher than those of non-dilated group,and the level of complement C4 was lower than that of non-dilated group,the differences were statistically significant(P<0.05).In the dilated group,the main bronchoscopic features were bronchiectasis,followed by endogenic foreign body,adenoid hypertrophy and bronchial occlusion.In the non-dilated group,the main bronchoscopic features included endogenic foreign body and adenoid hypertrophy.By multivariate analysis,heating time,C-reactive protein,D-dimer,LDH level and pleural effusion were independent risk factors for bronchiectasis secondary to Mycoplasma pneumoniae pneumonia in children,and complement C4 was protective factor(P<0.05).Conclusion:Children with bronchiectasis secondary to Mycoplasma pneumonic pneumonia generally have clinical features such as long heating time,C-reactive protein,D-dimer,high LDH level,pleural effusion,etc.Bronchoscopic features are mainly bronchiectasis,and heating time,C-reactive protein,D-dimer,complement C4,LDH levels and pleural effusion are influencing factors for secondary bronchiectasis induced by Mycoplasma pneumoniae pneumonia in children.Targeted intervention measures can be taken clinically to ensure the prognosis of children.关键词
儿童/肺炎支原体肺炎/继发支气管扩张/支气管镜特征Key words
Child/Mycoplasma pneumoniae pneumonia/Secondary bronchiectasis/Bronchoscopic feature
