儿童重症肺炎支原体肺炎临床特征与疗效研究  

Clinical features and management of severe mycoplasma pneumoniae pneumonia in children

作　　者：崔赛男[1] 谷丽[1] 杨蓉[1] 李呈媚[1] 

机构地区：[1]同济大学附属第十人民医院儿科,上海200072

出　　处：《同济大学学报（医学版）》2013年第4期94-97,103,共5页Journal of Tongji University(Medical Science)

摘　　要：目的探讨小儿重症肺炎支原体肺炎患儿临床特征及治疗。方法回顾分析2008年6月至2012年6月住院治疗的86例重症肺炎支原体肺炎的临床特征、实验室检查指标、X线特征及治疗经过。结果儿童重症肺炎支原体肺炎主要表现为发热(多为弛张高热或中等度热)、顽固性咳嗽,肺部体征早期不明显,胸部X线片表现为双侧或单侧大叶性实变或絮状渗出影,可伴有胸腔积液及肺外多系统损害。大环内酯类及头孢曲松、激素联合治疗效果好。结论小儿重症肺炎支原体肺炎存在合并其他病原体感染或机体感染肺炎支原体后免疫反应过度的可能,病情重,病程迁延,但经规范合理的综合治疗多能痊愈。Objective To review the clinical features and management of severe mycoplasma pneumoniae pneumonia （MPP） in children. Methods The clinical data and chest X-ray findings of 86 children with severe MPP, admitted to the hospital from June 2008 to February 2012, were retrospectively reviewed. Results The patients with severe MPP manifested remittent or moderate fever, persistent cough and no pulmonary signs at initial stage, the chest X-ray presented the patterns of segmental or lobar consolidation or flocculent exudate density on the unilateral or bilateral lung field; patients might have pleural effusion or extrapulmonary complications. Macrolides antibiotics and cephalosporins combined with dexamethasone may lead to a complete recovery. Conclusion Though children with MPP may present severe clinical manifestations and long duration of illness, most of them have a completed recovery with appropriate treatment.

关 键 词：肺炎支原体肺炎 重症 儿童 

分 类 号：R563.1[医药卫生—呼吸系统]