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[获得性瘢痕性喉气管狭窄儿童的衣原体感染]

[Chlamydia infections in children with acquired cicatricial laryngeal and tracheal stenosis].

作者信息

Soldatskiĭ Iu L, Vinogradova T V, Onufrieva E K, Konno V I, Semenov A V

出版信息

Vestn Otorinolaringol. 2002(6):40-2.

PMID:12501774
Abstract

The examination for Chlamydial infection was carried out in 49 children aged from 1 year 10 months to 15 years (mean age 9 years 6 months +/- 3 years 8 months) with laryngotracheal cicatricial stenosis (CS) provoked by long nasotracheal intubation. Antibodies to C. pneumoniae in diagnostically significant titers were detected in 13 of 49 children (26.5%), to C. trachomatis--in 1 patient who had both infections. All the infected patients except the latter carried tracheal canules or were decanulated. Age of the patients with Chlamydial infection at the time of examination and development of CS was significantly older than of non-infected children. No significant difference was found between these patients by duration of the intubation and of the disease. Consideration of the fact that 12 of 13 children with C. pneumoniae infection carried tracheocanules suggests that the infection may be secondary.

摘要

对49例年龄在1岁10个月至15岁(平均年龄9岁6个月±3岁8个月)因长期鼻气管插管引发喉气管瘢痕性狭窄(CS)的儿童进行了衣原体感染检查。49例儿童中有13例(26.5%)检测到具有诊断意义滴度的肺炎衣原体抗体,1例同时感染沙眼衣原体。除后者外,所有感染患者均携带气管套管或已拔管。衣原体感染患者在检查时的年龄以及CS发病时的年龄明显大于未感染儿童。这些患者在插管时间和疾病持续时间方面未发现显著差异。鉴于13例肺炎衣原体感染儿童中有12例携带气管套管,提示该感染可能是继发性的。

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