eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing ›› 2026, Vol. 7 ›› Issue (1): 83-85.doi: 10.3761/j.issn.2096-7446.2026.01.013

• Critical Care Research • Previous Articles     Next Articles

Early identification and nursing of multiple intrapulmonary complications in a child with severe mycoplasma pneumonia

SHEN Qianqian1(), ZHANG Yi2, FANG Hangping3, LI Mei1, ZHENG Ying4, CHEN Shuohui5,*()   

  1. 1. Department of Gastroenterology， Children’s Hospital，National Clinical Research Center for Children and Adolescent’s Health And Diseases， Hangzhou 310052， China
    2. Department of Neurology， Children’s Hospital，National Clinical Research Center for Children and Adolescent’s Health And Diseases， Hangzhou 310052， China
    3. Department of Respiratory， Children’s Hospital，National Clinical Research Center for Children and Adolescent’s Health And Diseases， Hangzhou 310052， China
    4. Department of Otolaryngology， Children’s Hospital，National Clinical Research Center for Children and Adolescent’s Health And Diseases， Hangzhou 310052， China
    5. Department of Hospital-acquired Infection Control， Children’s Hospital，National Clinical Research Center for Children and Adolescent’s Health And Diseases， Hangzhou 310052， China
  • Received:2025-03-19 Online:2026-01-10 Published:2026-01-06
  • Contact: CHEN Shuohui，E-mail：chcsh2@zju.edu.cn
  • Supported by:
    Zhejiang Provincial Medical and Health Science and Technology Plan Project(2023RC190)

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Abstract:

To summarize the nursing experience for a child with severe mycoplasma pneumonia complicated by plastic bronchitis and necrotizing pneumonia with hydropneumothorax and pulmonary embolism. In response to the characteristics of multiple intertwined complications and rapid progression，we implemented stepwise interventions based on dynamic "symptom-imaging-laboratory" triple monitoring，including bronchoscopic lavage to remove plastic casts，meticulous regulation of closed thoracic drainage，D-dimer-guided anticoagulation. After 36 days of treatment，the child recovered and was discharged. After 8 months of follow-up，imaging of the child showed good recovery.

Key words: Mycoplasma Pneumonia, Pneumonia, Pulmonary Embolism, Child, Critical Care Nursing