维吾尔族肺炎衣原体肺炎108例临床分析  

Uighur chlamydia pneumoniae pneumonia clinical analysis of 108 cases

作　　者：刘虹[1] 毛莲 

机构地区：[1]疏附县人民医院,新疆疏附844100 [2]喀什市兵团第三师医院,新疆喀什844000

出　　处：《基层医学论坛》2013年第25期3284-3286,共3页The Medical Forum

摘　　要：目的探讨肺炎衣原体感染的临床特点。方法采用酶联免疫吸附法（ELISA）测定108例患儿血清肺炎衣原体（CP）抗体,并观察CP阳性者的临床症状、体征、X线、实验室检查和治疗结果。结果 108例维吾尔族患儿咳嗽以阵发性干咳为主,61%有发热,住院后发热平均持续1.9 d;68.5%C反应蛋白（CRP）正常,64.8%周围血白细胞计数正常。合并肺炎支原体、细菌、EB病毒感染者分别为22.2%,18.5%,14.8%。0岁~5岁患儿胸部X线以双侧病变为主,~14岁儿童以单侧病变为主;大环内酯类使用率为90.7%。结论肺炎衣原体是儿童期下呼吸道感染常见病原体之一,肺炎衣原体肺炎病程较长,中毒症状轻,以干咳为主;CRP、周围血白细胞计数大多正常;胸部X线改变有年龄差别;CP所导致的下呼吸道感染治疗以大环内酯类药物为首选药物。Objective The clinical features of Chlamydia pneumoniae infection.Methods Measured by ELISA of serum cp antibody,and to observe the cp the positive clinical symptoms and signs,X-ray,laboratory tests and treatment summary clinical data.Results 108 cases of the Uighurs children cough paroxysmal dry cough,61% have a fever,the average duration of fever after hospitalization 1.9d;68.5% CRP properly,64.8% of the peripheral blood leukocyte count was normal.Combined Mycoplasma pneumoniae,bacteria,EB virus infection were as follows： 22.2%,18.5%,14.8%.0 to 5-year-old group,the chest X-ray to bilateral lesions mainly to 14 age group with unilateral lesions;macrolide use was 90.7%.Conclusion Chlamydia pneumoniae（cp）is one of the common pathogens of childhood respiratory infections,pneumonia chlamydia pneumoniae longer course poisoning symptoms were mild,dry cough;CRP,most of the peripheral blood leukocyte count normal;chest X-ray changes with the age difference;drug of choice for the treatment of lower respiratory tract caused by cp macrolides.

关 键 词：下呼吸道感染 儿童 肺炎衣原体 大环内酯类 

分 类 号：R725.6[医药卫生—儿科]