小儿反复血尿与肺炎支原体感染关系  

Mycoplasma Pneumoniae-associated Recurrent Hematuria in Children with Glomerular Diseases

作　　者：杨存明 乌恩思[2] 沈青[2] 

机构地区：[1]河南省邓州市第一人民医院,邓州市474150 [2]中国人民解放军第四军医大学西京医院,西安市710032

出　　处：《医药论坛杂志》2005年第13期23-24,26,共3页Journal of Medical Forum

摘　　要：目的探讨小儿肾小球疾病反复血尿与肺炎支原体感染的关系。方法同时采用直接咽拭子培养法和ELISA方法分别检测咽分泌物中肺炎支原体抗原和血清肺炎支原体IgM抗体,观察58例不同病理类型肾小球疾病肺炎支原体的感染率。结果肺炎支原体的总阳性率为22.4%(13/58),其中系膜增殖性肾炎、毛细血管内增生性肾炎和IgA肾病的肺炎支原体阳性率分别为22.5%(9/40)、30%(3/10)和20%(1/5)。结论小儿肾小球疾病反复血尿与肺炎支原体感染密切相关,临床医师应给予足够的重视。Objective To investigate recurrent hematuria occurs in association with mycoplasma pneumoniae infection in children with glomerular diseases. Methods 58 childen, admitted for glomerular diseases with various pathological lesions ,had been observed. The diagnosis of mycoplasma pneumoniae infection was based on the presence of serum IgM and M pneumoniae in throat swab specimens,detected by enzyme-linked immunosorbent assay (ELISA) and culture respectively. Results 22.4%(13/58) of all patients with glomerular diseases had related mycoplasma pneumoniae,in which MsPGN is 22.5%(9/40),EnPGN is 30%(3/10) and IgAN 20%(1/5). Conclusion Recurrent hematuria has suggested a strong association with mycoplasma pneumoniae infection ,to which clinician ought to pay more attention.

关 键 词：儿童 肾小球疾病 肺炎支原体 

分 类 号：R726.9[医药卫生—儿科]