98例小儿支原体肺炎临床分析  

Clinical analysis in 98 children's Mycoplasma Pneunmoniae cases

作　　者：储茂广[1] 方世九 李乾兵[1] 

机构地区：[1]安庆市第一人民医院,安徽246004

出　　处：《安徽卫生职业技术学院学报》2011年第2期16-17,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的：认识和提高小儿支原体肺炎的临床诊断治疗水平。方法：对某医院98例住院确诊小儿支原体肺炎患儿的临床特点进行总结和分析。结果：持续发热伴刺激性干咳占94.90%,早期症状均系呼吸道感染症状,血清酶联免疫吸附法MP-IgM阳性率高（84.69%）,外周血白细胞大多正常（75.51%）,胸片均有支气管肺炎性改变。轻症77例,重症（肺外并发症）21例,所有病例加用阿奇霉素治疗,肺外并发症加用激素治疗,尚未发现耐药情况。结论：持续发热伴刺激性干咳患儿,早期治疗（2~5天）无效时,应考虑小儿肺炎支原体肺炎,血清MP-IgM检查帮助诊断。Objective：To understand and improve the clinical diagnosis and treatment standards of mycoplasma pneumonia.Methods： 98 hospitalized patients of mycoplasma pneumonia in children diagnosed with clinical characteristics were summarized and analyzed.Result： Irritating cough with persistent fever accounted for 94.90%,they were all early symptoms of respiratory tract infection symptoms,serum enzyme-linked immunosorbent assay MP-IgM positive rate（approximately 84.69%）,peripheral white blood cells most of the normal（approximately 75.51%）,chest X-ray were bronchial inflammatory changes.All cases plus azithromycin including 77 slight cases and 21severe（pulmonary complications） cases,pulmonary complications with hormone therapy.Drug resistance has not yet found in All cases.Conclusion： If the early treatment（2 to 5 days） is invalid for the children with persistent fever and irritating cough,consider them to be the Mycoplasma pneumoniae pneumonia and serum MP-IgM examination can help the diagnosis.

关 键 词：肺炎 支原体肺炎 小儿 

分 类 号：R725.6[医药卫生—儿科]