tetano
Editor, Senior Moderator
Zhongguo Dang Dai Er Ke Za Zhi
. 2020 Oct;22(10):1105-1108.
[Clinical features of children with influenza and plastic bronchitis: an analysis of 63 cases]
[Article in Chinese]
Feng Wei[SUP] 1 [/SUP], Fei-Qiu Wen, Wei-Guo Yang, Yue-Jie Zheng
Affiliations
Abstract
Objective: To study the clinical features of children with influenza and plastic bronchitis (PB).
Methods: A retrospective analysis was performed on the medical data of 63 children with influenza and PB, including clinical manifestations, laboratory examination results, imaging findings, treatment, and outcome.
Results: Among the 63 children, there were 52 boys (83%) and 11 girls (17%), and 42 children had influenza A and 21 had influenza B. Among these children, 38 (60%) aged 3-6 years, and 15 (24%) had underlying diseases. The main clinical manifestations were high fever (90%), cough (95%), and shortness of breath (73%). Twenty-four children (38%) were found to have atelectasis by imaging examination. Auscultation showed that 16 children (25%) had no rales in the lungs. Of all children, 41 were admitted to the intensive care unit, and 32 required mechanical ventilation. All children underwent fiberoptic bronchoscopy and alveolar lavage. Among the 63 children, 60 recovered and 3 died.
Conclusions: Influenza with PB is often observed in boys and preschool children. For influenza children with shortness of breath, even if there is no atelectasis on chest X-ray or no rales are found by auscultation, the possibility of PB still needs to be considered.
. 2020 Oct;22(10):1105-1108.
[Clinical features of children with influenza and plastic bronchitis: an analysis of 63 cases]
[Article in Chinese]
Feng Wei[SUP] 1 [/SUP], Fei-Qiu Wen, Wei-Guo Yang, Yue-Jie Zheng
Affiliations
- PMID: 33059808
Abstract
Objective: To study the clinical features of children with influenza and plastic bronchitis (PB).
Methods: A retrospective analysis was performed on the medical data of 63 children with influenza and PB, including clinical manifestations, laboratory examination results, imaging findings, treatment, and outcome.
Results: Among the 63 children, there were 52 boys (83%) and 11 girls (17%), and 42 children had influenza A and 21 had influenza B. Among these children, 38 (60%) aged 3-6 years, and 15 (24%) had underlying diseases. The main clinical manifestations were high fever (90%), cough (95%), and shortness of breath (73%). Twenty-four children (38%) were found to have atelectasis by imaging examination. Auscultation showed that 16 children (25%) had no rales in the lungs. Of all children, 41 were admitted to the intensive care unit, and 32 required mechanical ventilation. All children underwent fiberoptic bronchoscopy and alveolar lavage. Among the 63 children, 60 recovered and 3 died.
Conclusions: Influenza with PB is often observed in boys and preschool children. For influenza children with shortness of breath, even if there is no atelectasis on chest X-ray or no rales are found by auscultation, the possibility of PB still needs to be considered.