Cicak Biserka, Verona Eva, Mihatov-Stefanović Iva
University Department of Pediatrics, Sestre milosrdnice University Hospital, Zagreb, Croatia.
Acta Clin Croat. 2010 Sep;49(3):321-6.
Community-acquired bacterial pneumonias generally have a good prognosis, given a good response to the antibiotic treatment applied, and complications such as pleural effusion, empyema, abscess and necrotizing pneumonia with pneumatocele formation (cavitary necrosis) are rare. Although cavitary necrosis is manifested as a severe disease, most children show complete recovery even without surgical treatment and have normal chest radiographs at long term. A case is presented of an immunocompetent infant that developed necrotizing pneumonia with pneumatocele formation during treatment of bacterial pneumonia. Conservative treatment led to complete regression of necrotic cavities and resulted in normal chest radiography finding 2.5 months of the occurrence of pneumatoceles.
社区获得性细菌性肺炎一般预后良好，对抗生素治疗反应良好，胸腔积液、脓胸、肺脓肿以及伴有肺气囊形成（空洞性坏死）的坏死性肺炎等并发症较为罕见。尽管空洞性坏死表现为严重疾病，但大多数儿童即使未经手术治疗也能完全康复，长期胸部X线片显示正常。本文报告一例免疫功能正常的婴儿，在细菌性肺炎治疗期间发生了伴有肺气囊形成的坏死性肺炎。保守治疗使坏死腔完全消退，在肺气囊出现2.5个月后胸部X线检查结果恢复正常。
