谢鹤?吴灿红?蔡燕杏?余仙蕾?陈宜升

    【摘要】目的 分析儿童气管支气管软化症(TBM)合并肺部感染的临床特征，探讨电子纤维支气管镜在该类疾病中的诊断及治疗意义。方法 收集因反复肺部感染住院的236例患儿资料，其中经电子纤维支气管镜确诊TBM 37例，分析儿童TBM的临床特征及电子支气管镜检查结果，比较TBM患儿与非TBM患儿的差异。结果 TBM患儿1岁内者占比高(30/37)。TBM患儿年龄小于非TBM患儿，住院时间长于非TBM患儿(P均 0.05)。TBM患儿镜下以轻、中度及1个部位软化为主，转归良好。结论 TBM是低龄儿童反复肺部感染、喘息的重要因素之一，TBM症状难以识别，支气管镜检查有利于及时诊治。

    【关键词】儿童；气管支气管软化症；支气管镜检查；肺部感染

    Clinical characteristics of tracheobronchomalacia complicated with pulmonary infection in children and the significance of electronic fiberoptic bronchoscopy in diagnosis and treatment Xie He， Wu Canhong， Cai Yanxing， Yu Xianlei， Chen Yisheng.Department of Pediatrics II， Chaozhou Central Hospital，Chaozhou 521000， China

    Corresponding author， Chen Yisheng， E-mail： 89766402@qq.com

    【Abstract】Objective To analyze the clinical features of children with tracheobronchomalacia (TBM) complicated with pulmonary infection，and to explore the significance of fiberoptic bronchoscopy in the diagnosis and treatment of this disease. Methods Clinical data of 236 children admitted to our hospital due to recurrent pulmonary infection were collected. Among them ......