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| Clinical value of early interventional therapy with fiberoptic bronchoscopy in children with Mycoplasma pneumoniae pneumonia complicated with airway mucus embolism |
| TAO Pei XIA Wanmin |
| Department of Children′s Respiratory, Chengdu Women′s and Children′s Central Hospital, Sichuan Province, Chengdu 610091, China |
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Abstract Objective To investigate the clinical value of early interventional therapy with fiberoptic bronchoscopy in children with Mycoplasma pneumoniae pneumonia (MPP) complicated with airway mucus embolism. Methods Clinical data of 92 MPP children complicated with airway mucus embolism in Department of Children′s Respiratory of Chengdu Women's and Children′s Central Hospital from February 2015 to February 2017 A retrospective, they were grouped according to the course of disease that from admission to fiberoptic bronchoscopy interventional therapy, children with the course of disease more than 10 days were defined as the control group (45 cases) and whose the course of disease less than or equal to 10 days were defined as the observation group (47 cases). The therapeutic effects of the two groups were compared and analyzed. Results The duration of fever, hospitalization, recovery time of white blood cell count and C-reactive protein in the observation group were significantly shorter than those in the control group, the differences were highly statistically significant (P < 0.01). There was statistically significant difference in the proportion of children with 60%-90% pulmonary consolidation absorption area 1, 3 months after treatment (P < 0.05); the pulmonary consolidation absorption areas of children in the observation group 1, 2, 3 months after treatment were better than those in the control group, the differences were statistically significant (P < 0.05). The incidence of atelectasis in the observation group was significantly lower than that in the control group 1, 2, 3 months after treatment, the differences were statistically significant (P < 0.05). Conclusion Early intervention of fiberoptic bronchoscopy in the treatment of MPP patients with airway obstruction with intraairway mucus embolism has a good safety and high clinical value, which is worthy of clinical promotion.
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