65例小儿肺炎支原体肺炎的临床分析  

Clinical analysis of 71 mycoplasma pnuemoniae infection in children

作　　者：许日红 潘小晶[2] 王锁英[2] 张云[2] 

机构地区：[1]镇江市仁济医院儿科,21009 [2]江苏大学附属医院儿科

出　　处：《中国实用医药》2011年第35期19-20,共2页China Practical Medicine

摘　　要：目的进一步加深对儿童肺炎支原体肺炎的临床表现、影像学特点及治疗的认识。方法回顾性分析2010年1月至10月江苏大学附属医院儿科65例肺炎支原体感染的住院患儿临床表现、影像学特点及治疗。结果本组患儿多为支原体肺炎(65例),主要表现为持续发热,顽固性剧烈咳嗽,肺部体征不明显,胸部X线表现下肺多于上肺,右肺多于左肺,婴幼儿主要为斑片状模糊影,年长儿则表现为节段或大叶实变及大片状阴影;且婴幼儿较年长儿更多伴有肺外脏器受损表现。早期规范使用大环内酯类抗生素的治疗,对疾病的转归有重要意义,同时有肺外合并症者,还应积极采取相应的治疗措施。结论应加深对肺炎支原体感染后的发病机制,临床表现及合理用抗生素、糖皮质激素等药物的进一步认识,以便有效地提高儿科医生对肺炎支原体肺炎的诊治水平。Objective To provide more knowledge of the Clinical manifestation,imaging characteristics and therapy of mycoplasma pneumoniae pneumonia in children.Methods The clinical data of 65 hospitalized children with mycoplasma pneumoniae（MP）infection from January to October,2010 in affiliated hospital of Jiangsu University were retrospectively analyzed.Methods Most of those children were mycoplasma pneumoniae pneumonia patients,and their clinical main show was persistent fever,irritant dry cough,inapparent pulmonary signs.The chest X-ray revealed that more shadow in right lung and lower lobe to left lung and the upper lobe,and high density spot like slice shadow were observed in infants,while consolidation in lobar distribution was exhibited in elder children.Using macrolide antibiotics early with standard is an efficient method forconvalescence of MPP.Conclusion It is very helpful to improve thephysician＇s level of diagnosis and treatment that understanding the causal mechanisms,clinical feature and select the methods of treatment of MPP.

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]