气管支气管结核患儿并发肺不张的影响因素分析

doi:10.19485/j.cnki.issn2096-5087.2023.10.017

Preventive Medicine

2023, Vol. 35

Issue (10): 907-910 DOI: 10.19485/j.cnki.issn2096-5087.2023.10.017

Maternity and Child Care

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Factors affecting the complication of pulmonary atelectasis in children with tracheobronchial tuberculosis

WU Weili¹, DING Jun², ZHANG Xiaoqiang²

1. Department of Pediatrics, Linping District Maternal and Child Health Hospital, Hangzhou, Zhejiang 311100, China;
2. Linping Division, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang 311100, China

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Abstract Objective To analyze the factors affecting the complication of pulmonary atelectasis among children with tracheobronchial tuberculosis (TBTB), so as to provide the reference for the prevention and treatment of pulmonary atelectasis complicated by TBTB. Methods Children with TBTB admitted to Department of Paediatrics, Linping Division of the Second Affiliated Hospital of Zhejiang University School of Medicine were selected as the study subjects from October 2018 to March 2023. Subjects's basic information, etiological examination results and laboratory testing results were collected using a self-designed questionnaire, and factors affecting the complication of pulmonary atelectasis among children with TBTB were identified using a multivariable logistic regression model. Results A total of 120 children with TBTB were included, with the age of 6 months to 12 years. There were 33 children at ages of less than one year (27.50%), 71 girls (59.17%) and 25 children with TBTB and pulmonary atelectasis (20.83%). Multivariable logistic regression analysis identified less than one year of age (OR=1.720, 95%CI: 1.126-3.358), type Ⅵ of TBTB (OR=1.669, 95%CI: 1.101-2.236), high level of C-reactive protein (OR=1.887, 95%CI: 1.088-2.686) and high level of procalcitonin (OR=1.844, 95%CI: 1.034-2.654) as risk factors for the complication of pulmonary atelectasis in children with TBTB. Conclusion Less than one year of age, type Ⅵ of TBTB, high level of C-reactive protein and high level of procalcitonin may increase the risk of pulmonary atelectasis in children with TBTB.

Key words： tracheobronchial tuberculosis pulmonary atelectasis children influencing factor

Received: 13 April 2023 Revised: 16 July 2023 Published: 10 October 2023

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WU Weili,DING Jun,ZHANG Xiaoqiang. Factors affecting the complication of pulmonary atelectasis in children with tracheobronchial tuberculosis[J]. Preventive Medicine, 2023, 35(10): 907-910.

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http://www.zjyfyxzz.com/EN/10.19485/j.cnki.issn2096-5087.2023.10.017 OR http://www.zjyfyxzz.com/EN/Y2023/V35/I10/907

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