论文部分内容阅读
急性肺出血症多见于新生儿,但亦能见于其他年龄组小儿。国内报道大多为新生儿肺出血,而其他年龄组病例则不多。我院于1987~1994年共收治肺出血29例,现将其病因进行探讨,并总结如下。 临床资料 一、一般资料病例选择:(1)患儿突然出现呼吸困难或/和肺部有细湿罗音增多。口、鼻部溢出血红色液体或/和气管插管见气道内有血性液体者共14例;(2)尸检肉眼见肺出血面积累及2个肺叶以上,镜下见大片出血者15例,其中生前诊断11例,占73.3%。年龄:1~6月8例,~12月6例,~2岁5例,~6岁5例,>6岁5例。出血前诊断:支气管肺炎16例,其中先心合并肺炎9例,血液病合并肺炎
Acute pulmonary hemorrhage more common in newborns, but also found in other age groups in children. Domestic reports are mostly neonatal pulmonary hemorrhage, while other cases are not many age groups. In our hospital from 1987 to 1994 were treated 29 cases of pulmonary hemorrhage, the etiology will now be explored and summarized as follows. Clinical data First, the general information Case selection: (1) children with sudden dyspnea or lungs and fine wet rales increased. Mouth, nose bleeding red liquid or / and tracheal intratracheal see the bloody fluid in the airway were a total of 14 cases; (2) autopsy of the naked eye to see the area of pulmonary hemorrhage and lung lobectomy involving more than 2 cases, Prenatal diagnosis in 11 cases, accounting for 73.3%. Age: 8 cases from January to June, 6 cases in December, 5 cases in 2 years, 5 cases in 6 years and 5 cases> 6 years old. Pre-bleeding diagnosis: bronchial pneumonia in 16 cases, including pneumoconiosis in 9 cases, hematological diseases with pneumonia