小儿肺炎支原体肺炎176例临床分析  

Clinical analysis of 176 cases of mycoplasmal pneumonia in children

作　　者：刘群[1] 袁成远[1] 

机构地区：[1]成都市第二人民医院儿科,四川成都610017

出　　处：《实用医院临床杂志》2009年第5期91-92,共2页Practical Journal of Clinical Medicine

摘　　要：目的探讨小儿肺炎支原体肺炎的临床特点及诊治方法。方法回顾性分析176例小儿肺炎支原体肺炎的临床特征、实验室检查、X射线特点及用红霉素、阿奇霉素序贯治疗的疗效。结果本组病例的临床表现以不规则发热、刺激性咳嗽为主,肺部可无明显阳性体征,其中56例(31.82%)有肺外合并症,外周血白细胞大多正常,胸片以单侧片状阴影多见,肺门影增浓模糊也较常见,应用红霉素、阿奇霉素序贯治疗均治愈。结论小儿肺炎支原体肺炎临床症状可较重而体征轻微,X射线胸片阴影明显是本病的特点,可发生肺外多个器官系统受损,红霉素、阿奇霉素序贯治疗可做为首选疗法。Objective To investigate the characteristics and diagnosis and treatment of mycoplasmal pneumonia in chil- dren. Methods A retrospective study was undertaken to analyze the clinical characteristics, the Results of laboratory examination,radiographys features of mycoplasmal pneumonia in 176 children and the curative effect of the sequential therapy of erythromycin or azithromycin. Results The patients may not have apparent sign in lung. Extrapulmonary complications are detected in 56 cases （ 31.82% ）. Their complete blood counts are usually normal. Chest X-ray Results always show sheet-shaped shadows in unilateral pulmonary. Pulmonary hilar enlargement is also common. These patients are all cured by erythromycin or azithromycin. Conclusion school-age children are most likely to contract mycoplasmal pneumonia. They may have severe symptoms but slight signs. Chest X-ray Results always show apparent shadows. The disease may cause muhisystem damage extrapulmonary. Doctors must pay special attention to these features. Erythromycin or azithromycin is the first choice of the treatment for mycoplasmal pneumonia.

关 键 词：小儿 肺炎支原体 肺炎 临床分析 

分 类 号：R725.6[医药卫生—儿科]