Xu Qianqian, Huang Yongjian. A Case Report of Post-Infection Bronchiectasis in Children and Literature Review[J]. 2021,27(12):13-16. DOI: 10.13407/j.cnki.jpp.1672-108X.2021.12.004.
diagnosis and treatment of children with bronchiectasis. Methods: The clinical manifestation
diagnosis
treatment and prognosis of a case of bronchiectasis in children were retrospectively analyzed. Results: A boy aged 8 years was admitted due to recurrent wheezing and coughing as the first symptom
and then developed copious purulent sputum and chest tightness. The child had a history of severe pneumonia
Mycoplasma pneumoniae infection and influenza B. High resolution CT (HRCT) showed no specificity at early stage and suggested bronchiectasis at late stage. Fiberoptic bronchoscopy showed purulent bronchitis and bronchiectasis. After excluding other causes
the child was diagnosed as post-infection bronchiectasis. Cough
sputum and asthma were improved after effective anti-infection treatment. After long-term follow-up
autogenic drainage
active respiratory training and anti-inflammatory treatment (inhalation of glucocorticoid
oral administration of small doses of azithromycin) and other treatments
the number of acute attacks decreased
and eventually achieved the radiographic recovery
normal pulmonary function and favourable prognosis. Conclusion: Early diagnosis of bronchiectasis in children is difficult. For children with recurrent wheezing and cough
bronchiectasis should be considered
and HRCT
pulmonary function and fiberoptic bronchoscopy should be dynamically detected
potential causes should be actively sought. Early diagnosis and treatment of post-infection bronchiectasis in children may lead to complete recovery