56例小儿肺炎支原体肺炎临床分析  

Clinical Analysis on Children’s Mycoplasmic Pneumonia in 56 Cases

作　　者：姚嘉仁 陈燕华[2] 

机构地区：[1]巍山县大仓中心卫生院儿科,云南巍山672401 [2]昆明医学院附属一院儿科,云南昆明650091

出　　处：《大理医学院学报》2001年第3期21-23,共3页Journal of Dali Medical College

摘　　要：目的：进一步提高对小儿肺炎支原体肺炎的认识，减少误诊误治。方法：对昆明医学院附一院儿科 1996年 1月至 1999年 4月收治诊断明确的 56例小儿肺炎支原体肺炎进行回顾性临床分析。结果：学龄儿童多发 (57％ )，次为学龄前儿童 (27％ )；有地方性和流行趋势，春冬多发，全年可见。以发热咳嗽起病，多为持续剧烈干咳， X线检查有一定特征，出现早，可与体征不相一致 (体征轻而胸片阴影显著 )。全部均有延误诊治情况。大环内酯类药治疗均敏感。结论：正确评估肺炎支原体感染在地区小儿呼吸道感染疾病中的地位非常必要，并且提高认识，借助 X线检查和冷凝集试验等病原学检查是减少延误诊治的关键。Objectives: To make a further understanding of children’ s mycoplasmic pneumonia and decrease the chance of misdiagnosis. Methods: 56 children with mycoplasmic pneumonia, who had been admitted by Pediatric Department of the First Affiliated Hospital, were retrospectively analyzed. Results: Children’ s mycoplasmic pneumonia is the most common in school children (57％ ) and next is preschool children (27％ ). The pneumonia shows an endemic and epidemic tendency and it prevails all the year round, but most frequently in spring. It often starts with fever and cough, and persistent dry cough is common. The X－ ray manifestation usually appears in the early stage with some specificity,but sometimes it is not consistent with clinical signs(prominent X－ rays with slight clinical signs).All the cases once delayed to be diagnosed. Macrolide antibiotics are effective to the pneumonia. Conclusions: The children’ s mycoplasmic pneumonia is an important disease among children’ s respiratory infections.It is very necessary to correctly evaluate its importance. X－ ray and cold coagulation test are helpful to reduce the chances of misdiagnosis.

关 键 词：小儿 肺炎支原体肺炎 误诊误治 

分 类 号：R725.6[医药卫生—儿科]