肺炎支原体(Mycoplasma pneumoniae, MP)是儿童社区获得性肺炎(CAP)的重要致病微生物。尽管大多数肺炎支原体肺炎(MPP)患儿为自限性疾病,但部分病情恶化者可发展为重症肺炎支原体肺炎(SMPP),并可能出现严重并发症,如塑形性支气管炎、闭...肺炎支原体(Mycoplasma pneumoniae, MP)是儿童社区获得性肺炎(CAP)的重要致病微生物。尽管大多数肺炎支原体肺炎(MPP)患儿为自限性疾病,但部分病情恶化者可发展为重症肺炎支原体肺炎(SMPP),并可能出现严重并发症,如塑形性支气管炎、闭塞性支气管炎等。随着2023年肺炎支原体感染的全球流行,SMPP病例显著增多,常规内科治疗在应对SMPP方面疗效有限。可弯曲支气管镜凭借其诊疗双重功能,在改善患儿预后中起到不可替代的作用。本文综述可弯曲支气管镜在SMPP诊断和治疗中的最新研究进展,为临床实践提供参考。Mycoplasma pneumoniae (MP) is an important causative organism of community-acquired pneumonia (CAP) in children. Although most children with Mycoplasma pneumoniae (MPP) have self-limiting disease, some children with worsening disease can progress to severe Mycoplasma pneumoniae (SMPP) and may develop serious complications such as plasmacytoid bronchitis and occlusive bronchitis. With the global epidemic of Mycoplasma pneumoniae infection in 2023, there is a significant increase in the number of SMPP cases, and conventional medical treatment has limited efficacy in dealing with SMPP. Flexible bronchoscopy (FB) has both diagnostic and therapeutic functions and plays an irreplaceable role in improving the prognosis of children. This article reviews recent advances in the use of flexible bronchoscopy for the diagnosis and treatment of SMPP, providing references for clinical practice.展开更多
文摘肺炎支原体(Mycoplasma pneumoniae, MP)是儿童社区获得性肺炎(CAP)的重要致病微生物。尽管大多数肺炎支原体肺炎(MPP)患儿为自限性疾病,但部分病情恶化者可发展为重症肺炎支原体肺炎(SMPP),并可能出现严重并发症,如塑形性支气管炎、闭塞性支气管炎等。随着2023年肺炎支原体感染的全球流行,SMPP病例显著增多,常规内科治疗在应对SMPP方面疗效有限。可弯曲支气管镜凭借其诊疗双重功能,在改善患儿预后中起到不可替代的作用。本文综述可弯曲支气管镜在SMPP诊断和治疗中的最新研究进展,为临床实践提供参考。Mycoplasma pneumoniae (MP) is an important causative organism of community-acquired pneumonia (CAP) in children. Although most children with Mycoplasma pneumoniae (MPP) have self-limiting disease, some children with worsening disease can progress to severe Mycoplasma pneumoniae (SMPP) and may develop serious complications such as plasmacytoid bronchitis and occlusive bronchitis. With the global epidemic of Mycoplasma pneumoniae infection in 2023, there is a significant increase in the number of SMPP cases, and conventional medical treatment has limited efficacy in dealing with SMPP. Flexible bronchoscopy (FB) has both diagnostic and therapeutic functions and plays an irreplaceable role in improving the prognosis of children. This article reviews recent advances in the use of flexible bronchoscopy for the diagnosis and treatment of SMPP, providing references for clinical practice.
