支原体肺炎合并胸腔积液、肺不张27例临床分析  

Clinic Analysis of Mycoplasma Pneumoniae Pneumonia with Pulmonary Atelectasis or Pleural Effusion

作　　者：张玉玲[1] 任立红[1] 胡孟英[1] 孙晓晗[1] 庄德丽[1] 

机构地区：[1]哈尔滨医科大学附属第二医院儿内科,哈尔滨黑龙江150086

出　　处：《现代生物医学进展》2011年第20期3891-3893,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨肺炎支原体肺炎合并胸腔积液、肺不张的诊断和治疗问题。方法:回顾性分析27例MPP合并胸腔积液、肺不张患儿的临床特征、诊治过程的临床资料,并结合文献进行讨论。结果:在27例MPP患儿中,肺CT表现为胸腔积液17例,肺不张10例;24例治愈,1例胸膜肥厚粘连,2例遗留闭塞性细支气管炎。结论:对MPP合并胸腔积液、肺不张患儿应早诊断,早治疗,除应用大环内酯类药物外,应联合应用头孢菌素,激素及丙种球蛋白,疗效肯定。Objective： To study the diagnosis and treatment of Mycoplasma Pneumoniae Pneumonia （MPP） with Pulmonary Atelectasis or Pleural Effusion. Methods： Retrospective analysis was applied to 27 cases of MPP with Pulmonary Atelectasis or Pleural Effusion on the clinical characteristics and data from the treatment process. Discussion was done with literatures. Results： In 27 cases ofMPP, CT signs showed there were 17 cases of Pleural Effusion, and 10 cases of Pulmonary Atelectasis. 24 cases were cured, one case with extensive pleura adhesions, and two cases with Bronchiolitis Obliterans. Conclusion： MPP patients with Pulmonary Atelectasis or Pleural Effusion should receive early diagnosis and early therapy. Macrolides should be combined with cephalosporins, hormone and gamma globulin to achieve positive effects.

关 键 词：支原体肺炎 胸腔积液 肺不张 

分 类 号：R725.6[医药卫生—儿科]