广泛胸部X线改变的肺炎支原体肺炎15例临床分析  

Clinical analysis of 15 cases Mycobacteria pneumonia pneumonia with severe chest X-ray manifestations

作　　者：刘智屏 文飞球 张丽香 

机构地区：[1]暨南大学医学院第二附属医院深圳市人民医院,广东深圳518020

出　　处：《中国感染控制杂志》2006年第4期317-319,I0001,共4页Chinese Journal of Infection Control

摘　　要：目的分析广泛胸部X线改变的肺炎支原体肺炎(MPP)患儿临床特点,以提高对该病的诊治水平。方法对某院2005年1-12月收治的15例广泛胸部X线改变的MPP患儿的临床和实验室资料进行分析。结果经MP IgM抗体检测,15例患儿确诊为MPP,其中胸部X线示大片阴影8例,肺不张4例,少量胸腔积液5例;临床表现以发热伴咳嗽为主(93.33%),肺部体征少,以双肺呼吸音粗糙(53.33%)及单肺呼吸音减低(46.67%)为主。经大环内酯类抗生素治疗后均痊愈。结论儿童MPP胸片表现较临床症状重,应尽早完善其抗体检测,以免耽误治疗。大环内酯类抗生素治疗效果好。Objective To analyse the clinical features of Mycobacteria pneumonia pneumonia （MpP） with severe chest X-ray manifestations in children, so as to improve the diagnosis and treatment of the disease. Methods Clinical and laboratory data of 15 children with MpP with severe chest X-ray manifestations in a hospital from January to December 2005 were analysed. Results After Mp IgM antibody detection, 15 children were diagnosed as MpP, chest X-ray showed that 8 of whom had extensive shadow, 4 had atelectasis, 5 had little pleural effusion;the main manifestations were fever and cough （93. 33%）, lung syndromes were rare, the main syndromes were bilateral lung respiratory rudeness （53.33 % ） and unilateral diminution of respiration （46.67 %）. All patients were cured after treatment of macrolides antibiotics. Conclusion Chest X-ray manifestations of MpP in children are more serious than clinical manifestations, antibody detection should be performed as soon as possible. Macrolides antibiotics have good curative effect on MpP.

关 键 词：肺炎支原体 肺炎 儿童 胸片 

分 类 号：R563.1[医药卫生—呼吸系统]