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頁籤選單縮合
題 名 | Clinical Analysis of Necrotizing Pneumonia in Children: Three-Year Experience in a Single Medical Center=兒童期壞死性肺炎之臨床分析:一醫學中心三年的經驗 |
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作 者 | 陳國俊; 蘇有村; 林永莉; 邱冠錡; 牛震廣; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 44:6 民92.11-12 |
頁 次 | 頁343-348 |
分類號 | 417.5351 |
關鍵詞 | 壞死性肺炎; Necrotizing pneumonia; Streptococcus pneumoniae; Chest computed tomography; |
語 文 | 英文(English) |
中文摘要 | 壞死性肺炎在兒童期是一個相當光見,但是非常複雜的大肺葉肺炎併發症。它的特色爲出現大量壞死且液化的肺組織,以數個小膿瘡出現、而不是以單一的腔室。爲了評估兒童期壞死性肺炎的臨床表現,此一回顧性研究包含了高雄長庚兒童醫院從1999年11月至2002年12月因為此一疾病住院的17位病人.全部的病人皆接受胸部電腦斷野掃描以為診斷的標準.經過統計分析結果,男女比為6:11,年齡從47天大到7歲大。致病原以肺炎雙球菌(Streptococcus pneumoniae)爲主,共佔了9例53%。右肺受影響比左肺多(12:7)。盡管用了適當的抗生素,病人平均仍發燒了12.1±5.2天,另外病人住院天數平均爲22.7±7.0天。住院當天時的白血球數目並不具特異性,但相反地,發炎指數(C-reac-tive protein)卻是整個疾病過程最高的。貧血及血小板增多是疾病過程中必然會出現的現象。本研究中只有一位病童接受手術治療。此外,追蹤胸部X光檢查也顯示會在平均60.3±15.6天恢複正常而不會留下疤痕也比一般的細菌性肺炎棘手,尤其是在小兒科病人身上。但可以預期的是病人的預後皆很良好且無任何後遺症,也無死亡病例。 |
英文摘要 | Necrotizing pneumonia (NP) is a rare but complex complication of lobar pneumonia in children. It is characterized by massive necrosis and liquification of lung tissues by the presence of multiple cavities rather than a solitary one. To evaluate the clinical features of NP, we enrolled 17 patients at Chang-Gung Memorial Hospital (Kaohsiung) from November 1999 to December 2002. The diagnosis of NP was based upon findings of chest computed tomography. There were six boys and 11 girls, ages ranging from 47 days to seven years. Streptococcus pneumoniae was the most common pathogen responsible for 9 cases in our study. Our patients remained febrile, even with the appropriate antibiotics administered, for a mean of 12.1±5.2 days and hospitalized for a mean of 22.7±7.0 days. The right lung was affected more than the left (12:7). On admission, laboratory data showed either leukocytosis, or normal leukocyte count, or leukopenia, but C-reactive protein was abnormally high (mean=304.8±96.3mg/L). Anemia and significant platelet count elevation developed at a mean period of 8.5±3.5 and 10.9±4.7 days after their hospitalization, respectively. Surgical intervention was performed in one case only in our series. Chest roentgenography took a mean of 60.3±15.6 days to resolve completely. Although the clinical course was prolonged, all patients with NP eventually recovered completely with no sequela. |
本系統中英文摘要資訊取自各篇刊載內容。