Boren Eric J, Teuber Suzanne S, Gershwin M Eric
Division of Rheumatology, Allergy, and Clinical Immunology, Department of Internal Medicine, University of California at Davis School of Medicine, 451 E. Health Sciences Dr., Suite 6510, Davis, CA 95616, USA.
Clin Rev Allergy Immunol. 2008 Apr;34(2):260-73. doi: 10.1007/s12016-007-8036-z.
With the implementation of vaccination programs and the use of antibiotics, developed countries have seen a decline in infection-related pediatric bronchiectasis. However, significant morbidity from bronchiectasis is still seen and both infectious and noninfectious causes of bronchiectasis in the pediatric population remain. A review of the literature will be presented including causes of pediatric bronchiectasis, clinical symptoms and signs, laboratory evaluation and imaging, as well as treatment options. This review stresses the importance of early evaluation and treatment in children with recurrent cough, sinusitis, potential foreign-body aspiration, or gastroesophageal reflux to prevent the complications of ongoing respiratory disease and bronchiectasis.
随着疫苗接种计划的实施和抗生素的使用，发达国家与感染相关的小儿支气管扩张症有所减少。然而，支气管扩张症仍会导致严重发病，小儿支气管扩张症的感染性和非感染性病因依然存在。本文将对相关文献进行综述，内容包括小儿支气管扩张症的病因、临床症状和体征、实验室评估及影像学检查，以及治疗选择。本综述强调，对于反复咳嗽、鼻窦炎、有潜在异物吸入或胃食管反流的儿童，早期评估和治疗对于预防持续性呼吸道疾病及支气管扩张症并发症的重要性。
