The Research On Changed Type Of Children Mycoplasma Pneumonia By Bronchoscopic Airway

Objective: To investigate (evaluation) changed the type of Mycoplasmapneumonia by the fiber bronchoscopic airway was good for diagnosis, assessment ofseverity and treatment significance (value).Method: Review of hospitalized children collected in2011December-2012December with pneumonia mycoplasma and diagnostic criteria in the acute phase byfiberoptic bronchoscopy as the research object in Changchun children Hospital,according to the degree of airway damage in children with mycoplasma pneumonia i.e.the morphological changes of airway mucosa only mucosa skin integrity and airwaymucous membrane not only has the morphological changes and substantial erosionand ulceration were classified as two types (Groups), typeⅠ (general type) and typeⅡ(mucosal erosion), comparative analysis of two groups of children with airwaychanges under microscope, the incidence in general, clinical manifestations, imagingfeatures, treatment and prognosis.Results: In the150cases of mycoplasma pneumonia,126cases of typeⅠ,24cases of typeⅡ, onset age of2-15years, the average age is5.6±0.11. Microscopicallyappearance: The acute phase: Both type (group) I and type (group) Ⅱ microscopicallyairway mucosa present including the mucosa congestion and edema, increasedsecretion of100%vs100%,100%vs100%, airway mucosal follicular hyperplasia71.4%vs87.5%, airway longitudinal folds75.4%vs91.7%, analysis of statistical data,no significant difference; airway mucosal erosion and ulceration, obstruction of thelumen of sputum bolt and necrosis typeⅡ patients characteristics, with I group were100%vs0,100%vs0, there is obvious difference. The recovery period: I (Group) caseairway were in the normal range, Ⅱ groups have irreversible damage (luminal stenosis100%, of which45.8%with occlusion of the lumen, granulation hyperplasia in12.5%), there is obvious difference.Clinical manifestations of type (Group) I patients symptoms, signs are relatively light, type (Group) Ⅱ were compared with Ⅰ showed highly continuous and does notsubside included100%vs5.6%,100%vs6.3%, cough with dyspnea pulmonaryconsolidation and signs were100%vs4.8%, laboratory support more than100%vs9.5%statistical data analysis of bacterial infection, there is obvious difference;imaging characteristics: type (Group) Ⅰ were mainly for Mycoplasma image typicalchanges, while type (Group) Ⅱ were compared with Ⅰ in the lung involvement in1above91.7%vs14.3%, high density, opacity,100%vs0, air bronchograms disappearedwith pleural effusion100%vs0,83.3%vs3.2%and most a necrotizing pneumonia91.7%vs0characteristics, analysis of statistical data, there exist obvious differences;treatment (group I) were adopted single macrolide treatment of infection wascontrolled in90.5%, type (Group) Ⅱ were compared with typeⅠ with macrolidescombined with more than a kind of antibiotics, hormone100%vs9.5%in acute stagetreatment of100%vs5.6%, fibrobronchoscopy interventional treatment of100%vs4.7%, there is obvious difference; analysis of Ⅰ prognosis (Group) were ofgood prognosis, leaving no gas Tract complications, are not persistent pneumonia,type (Group) Ⅱ patients were left with airway irreversible injury in100%, havebecome the100%protracted pneumonia, there exist obvious differences; type (Group)Ⅱ the average hospitalization time, symptoms were improved obviously time, averagesigns time, recovery time and total average X-ray the course is (Group) Ⅰ weresignificantly prolonged.Conclusion:1. Common type and mucosal erosive type (Group) cases in bronchoscopyairway changes, clinical manifestations, imaging features, treatment and prognosishave obvious difference, early diagnosis and disease of children mycoplasmapneumonia assessment has guiding significance.2. Early detection, identification of mucosal erosion type mycoplasmapneumonia, the treatment plan, reduce the incidence of complications of disease.