小儿MP感染合并血小板减少性紫癜的临床分析  

Young child MP infection merge blood platelet reduction purpura clinical analysis no matter

作　　者：任永霞 Ren Yongxia

机构地区：山东省沂南县人民医院,276300

出　　处：《中外健康文摘：临床医师》2007年第8期24-25,共2页

摘　　要：目的：探讨小儿肺炎支原体感染合并血～板减少性紫癜原因及治疗方式。方法：16例患儿均予红霉素治疗30mg（kg·d）静脉滴注，疗程2周～3周后改口服1周～2周。应用地塞米松0．5mg（kg·d）～lmg（kg·d）静脉滴注来改善血小板，至血小板数正常后逐渐减量，或用丙种球蛋白400mg（kg·d）静脉滴注，连用3d。结果：经治疗后16例患儿临床症状改善，实验室指标恢复正常，病情无反复。讨论：MP起病隐匿，病程较长。当MP感染合并引起肺外表现时，可使病情复杂化，易造成误诊、漏诊，延误治疗。因此肺炎支原体抗体检查不能忽视，能够帮助临床医生及时找到病因，对症治疗。Objective： Discusses the young child pneumonia mycoplasma infection merge blood platelet reduction purpura reason and the treatment way. Method. 16 examples troubles give the erythromycin to treat 30rag （kg·d） the vein drop note, after the treatment course 2 week-3 weeks change a statement the clothing 1 week-2 week 0.5mg（kg·d）-1mg （kg·d） the vein drop note improves the blood platelet using dexamethasone 0.5mg, after platelet a few the normal gradually decrement, or with gamma globulin 400mg （kg·d） the vein drop note, including uses 3d. Finally. After treats the latter 16 examples trouble clinical symptom improvement, the laboratory target restores normally, the condition does not have relapse. Discussion. MP gets up sickness to go into hiding, the course of an illness is longer. When the MP infection merge causes the lung semblance present, may cause the condition complication, is easy to create misdiagnoses, leaks examines, delays the treatment. Therefore the pneumonia mycoplasma immune body inspection cannot neglect, can help clinician promptly to find the cause of disease, just right for the illness treatment.

关 键 词：小儿肺炎 血小板减少性紫癜 临床表现 

分 类 号：R725.6[医药卫生—儿科;医药卫生—临床医学]