肺炎支原体感染性毛细支气管炎95例临床分析  

Clinical Analysis of 95 Cases about Mycoplasma Pneumoniae Infection Bronchiolitis

作　　者：吴友林[1] 陈汶[1] 卢亚陵[1] 

机构地区：[1]成都儿童专科医院,四川成都610015

出　　处：《新医学导刊》2009年第6期24-26,共3页New Medical Science

摘　　要：目的探讨肺炎支原体（MP）所致毛细支气管炎（毛支炎）的，临床特点，提高其诊治水平。方法对我院2006年10月～2009年1月收治的402例毛支炎患儿采用ELISA方法进行血清MP—IgM测定，并设IgM阳性为感染组、IgM阴性为对照组，对其，临床表现、辅助检查及治疗资料进行比较分析。结果MP是毛支炎的重要病原体（23．6％，95／402），其特点为起病急、病程长、肺外症状多，不热或低热，易被忽视，阿奇霉素治疗有效。结论MP感染性毛支炎，临床表现与呼吸道合胞病毒性不同，病程长，肺外表现多，常规治疗疗效差，建议对毛支炎患儿常规进行MP—IgM检测，以免漏诊误诊误治。Objective To investigate the clinical features of Mycoplasma pneumoniae infection bronchiolitis, to improve the diagnosis and treatment. Methods 402 cases of children with bronchiolitis from October 2006 to January 2009 adopted ELISA method to determine serum ion MP - IgM, and suppose IgM - positive as infection group, IgM - negative as control group, to analyses their clinical manifestations, auxiliary examination and treatment information. Results Myeoplasma pneumoniae was an important pathogen of bronehiolitis （23.6% , 95/402）, which is characterized by acute onset, long duration, extra -pulmonary symptoms, no heat or low heat, be easily ignored, azithromycin treatment was effective. Conclusion The clinical manifestations of mycoplasma pneumoniae infection bronchiolitis was different to respiratory syncytial virus, longer disease course, extra - pulmonary manifestations, and poor efficacy of conventional treatment, it was recommended that children with bronchiolitis adopted conventional MP - IgM detection to avoid missed diagnosis, misdiagnosis or wrong administration.

关 键 词：肺炎支原体 毛细支气管炎 阿奇霉素 

分 类 号：R375.2[医药卫生—病原生物学]