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目的:探讨高原地区小儿间质性肺炎的特点及预后。方法:对2000年1月—2011年1月我院儿科临床诊断为间质性肺炎的20例患儿进行综合分析。结果:发现患儿病情均较重,有明显呼吸困难,伴有心衰或早期心衰表现,胸片显示双侧肺部模糊影,可呈弥漫分布,也可分布在上肺或下肺,双侧肋膈角区清晰。肺功能为局限性通气障碍。经治疗,治愈14例,死亡6例。结论:在高原地区因空气中含氧量较低,间质性肺炎症状重、发展快,治疗困难,需多方综合治疗才能奏效。
Objective: To investigate the characteristics and prognosis of infantile interstitial pneumonia in the plateau area. Methods: From January 2000 to January 2011 in our hospital pediatric clinical diagnosis of interstitial pneumonia in 20 cases were analyzed. Results: The children were found to have severe disease with obvious dyspnea, accompanied by heart failure or early heart failure. The chest radiograph showed blurred bilateral bilateral lungs, showing diffuse distribution, also can be distributed in the upper or lower lung, Bilateral phrenic angle area clear. Pulmonary function as a limiting ventilation disorder. After treatment, 14 cases were cured and 6 died. Conclusion: Because of the low oxygen content in the air and the severe symptoms of interstitial pneumonia in the plateau area, the development is rapid and the treatment is difficult. Comprehensive treatment with multiple prescriptions is needed.