婴幼儿肺炎支原体肺炎的临床特点及分析  

The Clinical Characteristics and Analysis of Mycoplasma Pneumoniae Pneumonia from Infants and Children

作　　者：李树青[1] 岳宝珠[1] 延永[1] 沈玲[1] 韩炳鑫[1] 

机构地区：[1]山东省潍坊市妇幼保健院,261011

出　　处：《中国全科医学》2005年第14期1147-1148,共2页Chinese General Practice

摘　　要：目的探讨婴幼儿肺炎支原体肺炎的发病状况及其临床特点。方法采用间接血凝集法对132例住院的婴幼儿肺炎进行特异性肺炎支原体IgM(MP-IgM)检测,并对其主要症状与非肺炎支原体肺炎进行对比分析。结果132例患儿中MP-IgM阳性51例,阳性率为38.6%,其中21.4%(6/28)混有细菌和病毒感染。肺炎支原体肺炎与非肺炎支原体肺炎患儿发热、咳嗽、喘憋、肺部干、湿性罗音的发生率间差别均无显著性意义(P>0.05)。肺炎支原体肺炎肺外损伤7例,非肺炎支原体肺炎肺外损伤2例,二者间差别有显著性意义(P<0.05)。结论肺炎支原体已成为婴幼儿肺炎的常见病原体,其临床表现与典型的年长儿肺炎支原体肺炎有所不同,而与婴幼儿非肺炎支原体肺炎相似,肺外损伤不少见,部分合并细菌或病毒感染。Objective To study the disease status and clinical characteristics of the infants mycoplama pneumoniae pneumonia(MPP).Methods 132 hospitalized infants and children with pneumonia were tested of MP-IgM by indirect blood coagulate assay.The chief symptoms of MPP were compared with that of non-MPP.Results In these 132 cases,51were positive for MP-IgM and the positive rate was 38.6%, 21.4%(6/28)of MPP cases infected bacteria or virus.The main clinical characteristics of MPP such as fever,cough,gasp,dry gong sound and wet gong sound were similar with those of non-MPP( P >0.05).In the MPP cases,7 had lung exterior injure,2 had lung exterior injure in the non-MPP cases.There was significant difference between these two groups( P <0.05).In the MPP cases,34 showed the X-ray manifestation of bronchopneumonia.In the non-MPP cases,68 showed the X-ray manifestation of bronchopneumonia.The difference between these two groups was significant( P <0.05).Conclusion Mycoplasma pneumonia was the common pathogen in infants pneumonia.The clinical characteristic of infants and children with MPP was different from those of high-age children but similar with those without MPP.The lung exterior injure was common,and some cases had bacteria or virus infection.

关 键 词：婴幼儿 肺炎 支原体 肺炎 

分 类 号：R725.6[医药卫生—儿科]