Source: Healthy Hangzhou
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Hangzhou 5-year-old Jiji (pseudonym) has been suffering from high fever for 7 days because of pneumonia. When he was transferred to the Department of Respiratory Medicine of Hangzhou Children’s Hospital, he was like a hot stove…“Doctor, What should I do? I take antipyretics three or four times a day, and my body temperature has not dropped to normal, what should I do?” The mother was anxious and asked Wu Suling, the director of respiratory medicine, for help. 
Director Wu checked the medical records in detail, the child has been treated with medicine for 3 days, but the condition is still getting worse and the temperature is getting higher and higher. Lung CT showed that the lesions became larger and larger, and were accompanied by large atelectasis and consolidation of the right lung. Looking at the weak Jiji on the hospital bed, the Department of Respiratory Medicine immediately came up with a new treatment plan – bronchoscopy, and quickly organized a team to perform bronchoscopy for Jiji. 
Under the bronchoscope, it can be seen that the child’s right lower lobe bronchus has been completely blocked by sputum plug… After lavage treatment, the doctor successfully The lower lobe of the lung is lavaged to produce a “millennium old ginseng” – bronchial shaping. It turned out to be “plastic bronchitis span>”, refers to a clinicopathological abnormal syndrome in which lung inflammation leads to local or extensive bronchial blockage by endogenous foreign bodies, resulting in partial or total lung ventilation dysfunction. Since the internal organisms that block the bronchus are taken out, the shape is like the bronchus, that is, the bronchus is shaped, so it is called plastic bronchitis. 
plastic bronchitispreferable in children, the main clinical manifestation is cough, sometimes coughing up jelly-like sputum like branches, with < span>Wheezing, shortness of breath, cyanotic lips, chest pain. Younger children may also see nose flaps. This is a relatively rare pediatric emergency in clinical practice, so it is easy to be missed and misdiagnosed. Due to the severe and rapid onset of disease, the mortality rate is high. After the operation, Jiji’s body temperature quickly dropped to normal, and her mother let go of her long-lost heart and showed a long-lost smile: “I thought it was just pneumonia, but I didn’t expect to have life. It’s dangerous, but luckily I came to the Municipal Children’s Hospital, thank you so much!” Director Wu reminded,children’s pneumonia continued to have high fever and difficulty breathing , Lung X-ray showed atelectasis, lung consolidation, should be cardioplastic bronchitis, need to be vigilant, and go to a specialist outpatient clinic in time. A little flower spread to remind more parents! ↓↓↓