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Clinical Characters of Pneumonia with Pulmonary Consolidation in Different Age Groups of Children |
Department of Respiration, Hunan Children’s Hospital, Changsha, 410007, China |
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Abstract 【Objective】To explore the clinical characters of pneumonia with pulmonary consolidation in children.【Methods】Case series analysis method was used, and 128 cases with pulmonary consolidation in pneumonia from August, 2012 to August, 2014 were retrospectively investigated.【Results】The WBC level of <1 and 1~3 years old children with pneumonia and lung consolidation were respectively 49.0% and 57.6%. There was a significant difference between these two group (P<0.05). The hospitalization of <1 years old children with pneumonia and lung consolidation was significantly longer than 3~5 and ≥5 years old children. The need of mechanical ventilation and the occurrence of bronchitis obliterans in the children with pneumonia and lung consolidation were highest. Streptococcus pneumonia (9 case, 7.0%), adenovirus (16 case, 12.5%) and mycoplasma (51 case, 39.8%) were the most common infections. The proportion of using mechanical ventilation and fiberoptic bronchoscopy of bronchitis obliterans in the children with pneumonia and lung consolidation were significantly higher than the others (P<0.05), so were the days of hospitalization and the duration of fever after admission.【Conclusion】Infants with pneumonia accompanied with lung consolidation should be paid more attention. Streptococcus pneumoniae, adenovirus and mycoplasma were the most common etiology. In addition, children used mechanical ventilation with pneumonia accompanied with lung consolidation should be given early intervention and comprehensive treatment so as to prevent the occurrence of ronchitis obliterans.
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Received: 31 March 2015
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