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目的探讨小儿难治性肺炎的病因及临床治疗效果。方法回顾性分析禹州市人民医院治疗的72例小儿难治性肺炎患儿的临床诊治资料。结果小儿难治性肺炎由多种因素联合造成;大部分患儿在查明致病原因及病原体后,根据药敏试验的结果选择适合的抗生素治疗,并辅以雾化、吸痰及肺部微波治疗,部分患儿给予纤维支气管镜肺泡灌洗,并积极处理合并症,取得了满意的治疗效果。结论小儿难治性肺炎致病因素很多,治疗比较困难,根据病原学检查结果及时调整治疗方案,积极治疗并发症,是小儿难治性肺炎的治疗关键。
Objective To explore the etiology and clinical effect of refractory pneumonia in children. Methods The clinical data of 72 children with refractory pneumonia treated in Yuzhou People’s Hospital were retrospectively analyzed. Results Children with refractory pneumonia caused by a combination of many factors; most children in the identification of pathogens and pathogens, according to the results of susceptibility testing, select the appropriate antibiotics, supplemented by atomization, suction and lung Microwave treatment, some children given bronchoscopy alveolar lavage, and actively deal with complications, and achieved satisfactory therapeutic effect. Conclusions There are many causative factors in pediatric refractory pneumonia and the treatment is difficult. According to the results of pathological examination, timely adjustment of treatment regimen and active treatment of complications are the key to the treatment of pediatric refractory pneumonia.