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目的:探讨小儿肺出血的常见原因,临床特点及治疗方法。方法:回顾性分析2007年3月~2012年3月应用综合治疗的小儿肺出血11例的临床资料。结果:感染性疾病是引起肺出血的重要原因,11例患儿气管插管前确诊为肺出血3例,其余8例则在气管插管后才确诊,全部予以机械通气为主的综合治疗,治愈9例,死亡2例。结论:及时诊断和采用以机械通气为主的综合治疗措施是提高小儿肺出血救治成功的关键。
Objective: To investigate the common causes, clinical features and treatment of pediatric pulmonary hemorrhage. Methods: The clinical data of 11 children with pulmonary hemorrhage in our hospital from March 2007 to March 2012 were retrospectively analyzed. Results: Infectious diseases were the main cause of pulmonary hemorrhage. Among the 11 cases, 3 cases of pulmonary hemorrhage were confirmed before tracheal intubation and the other 8 cases were diagnosed after tracheal intubation. All of them were given comprehensive treatment based on mechanical ventilation. Nine cases were cured and two died. Conclusions: Timely diagnosis and adoption of comprehensive treatment with mechanical ventilation are the keys to improve the success of pediatric pulmonary hemorrhage.