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目的分析1岁以内婴儿支气管肺炎的诱因、临床症状、体征及辅助检查的特点,提高婴儿支气管肺炎的认识和诊断率。方法法对2010年1月～2011年12月本院1岁内婴儿支气管肺炎住院106例病例的临床表现和辅助检查结果进行回顾性分析。结果婴儿肺炎症状除发热、咳嗽典型症状外,有部分不典型病例。其中以咳嗽无发热为主诉者49例,占46.23%,以发热、咳嗽为主诉者40例,占37.74%,以喉部痰鸣音为主诉者10例,占9.43%,以其他如哭闹、烦躁为主诉者3例,占2.83%,呕吐为主诉者4例占3.78%,除典型体征呼吸增快、肺部固定细湿啰音外,有部分不典型体征,肺部可闻及痰鸣音38例,占35.85%,肺部征者阴性无啰音者8例,占7.55%。结论婴儿支气管肺炎部分病例不典型,容易漏诊、误诊,对于有咳嗽、发热、喉部有痰鸣音症状的婴儿应给予足够重视,家长做到及时就诊,医生做到详细的体格检查,配合实验室及胸部X线检查,有助于确定诊断婴儿的支气管肺炎。
Objective To analyze the causes, clinical symptoms and signs of infantile bronchopneumonia within 1 year old and the characteristics of auxiliary examination to improve the awareness and diagnosis rate of infant bronchopneumonia. Methods A retrospective analysis was performed on the clinical manifestations and auxiliary examinations of 106 cases of infantile bronchopneumonia hospitalized in our hospital from January 2010 to December 2011. Results Infant pneumonia symptoms in addition to fever, cough typical symptoms, there are some atypical cases. Among them, 49 cases were predominantly cough-free fever, accounting for 46.23%, 40 cases were mainly fever and cough, accounting for 37.74%, 10 cases were mainly complained of throat phlegm, accounting for 9.43% , Irritability-based complaints in 3 cases, accounting for 2.83%, vomiting-based complaints in 4 cases accounted for 3.78%, in addition to the typical signs of rapid breathing, the lungs fixed fine wet rales, some atypical signs, the lung can be heard and sputum There were 38 cases of beeps, accounting for 35.85%. There were 8 cases of negative rales in lungs, accounting for 7.55%. Conclusion Some cases of infantile bronchopneumonia are not typical, easily missed diagnosis, misdiagnosis, for cough, fever, throat sputum be aware of the symptoms of babies should be given enough attention to parents to timely treatment, the doctor to do a detailed physical examination, with the experiment Room and chest X-ray examination, help determine the diagnosis of bronchial pneumonia in infants.