Risk factors for local complications in children with community-acquired pneumonia
Risk factors for local complications in children with community-acquired pneumonia
复制标题
DOI：
10.1111/crj.12524
复制
发表时间：
2018-01-01
影响因子：
1.7
通讯作者：
Kulus, Marek
中科院分区：
文献类型：
--
作者：
Krenke, Katarzyna;Krawiec, Marta;Kulus, Marek
目的探讨影响局部并发症发生的因素（胸膜旁积液/胸腔积脓，坏死性肺炎和肺脓肿）在儿童社区获得性肺炎（CAP）。和实验室数据进行了前瞻性收集和比较儿童无并发症和复杂的CAP。入选患者103例，年龄2个月至17岁。有141和62名儿童分别为非复杂性和复杂性CAP。有并发症的CAP与无并发症的CAP相比，发热持续时间明显延长，急性期反应物水平明显升高。非对称性胸痛以及院前布洛芬和对乙酰氨基酚治疗在复杂CAP患者中明显更常见（P
AimThe aim of this study was to evaluate the factors that could predict the development of local complications (parapneumonic effusion/pleural empyema, necrotizing pneumonia, and lung abscess) in children with community-acquired pneumonia (CAP).MethodsDemographic, clinical, and laboratory data were prospectively collected and compared in children with noncomplicated and complicated CAP.ResultsTwo-hundred and three patients aged from 2 months to 17 years were enrolled. There were 141 and 62 children with noncomplicated and complicated CAP, respectively. Significantly longer duration of fever and a higher level of acute phase reactants were demonstrated in complicated when noncomplicated to complicated CAP. Asymmetric chest pain as well as prehospital treatment with ibuprofen and acetaminophen were significantly more common in patients with complicated CAP (P