两岁以下儿童肺炎支原体肺炎临床特点分析  

Clinical analysis of Mycoplasma pneumoniae pneumonia in children under 2 years old

作　　者：陈蒙[1] 杨军[2] 赵德育[1] 

机构地区：[1]南京医科大学附属南京儿童医院呼吸科,江苏南京210008 [2]南京医科大学附属南京儿童医院检验科,江苏南京210008

出　　处：《临床儿科杂志》2014年第12期1135-1137,共3页Journal of Clinical Pediatrics

摘　　要：目的探讨两岁以下儿童肺炎支原体肺炎的临床特点。方法收集2013年9月1日至11月30日住院的57例<2岁以及153例≥2岁的肺炎支原体肺炎患儿的临床资料,分析其临床特点及治疗转归。结果与≥2岁相比,<2岁患儿的发热例数少,热峰低,热程短,但肺部体征多,喘息发生率高,全血白细胞计数升高,胸片以小片絮状影多见,肺部并发症少,治疗中较少需要使用激素抗炎(P均<0.05)。两组患儿大部分住院治疗1周左右复查胸片示肺炎完全吸收;出现皮疹、肝功能损害及心肌损害等并发症的差异无统计学意义(P>0.05)。结论 <2岁婴幼儿的肺炎支原体肺炎有症状轻、体征重、肺部并发症极少、体内炎症反应轻以及影像学表现轻的特点。Objective To analyze the clinical characteristics of Mycoplasma pneumoniae pneumonia in children under 2 years old. Methods The clinical features and treatment outcomes were analyzed in 57 children under 2 years old and compared with 153 children more than 2 years old. Results Compared with children more than 2 years old, in children under 2 years old, the number of cases with fever was fewer, the fever peak was lower and the lasting time was shorter. However, in children under 2 years old, the severe pulmonary signs were more common, the incidence of wheeze was higher, meanwhile, the count of white blood cells （WBCs） was signiifcantly increased, more small pieces of lfuff shadow was showed on chest X-ray, and the pulmo-nary complications were fewer, less corticosteroid was needed for treatment. After one-week therapy, the chest X-ray shadows were disappeared in most of children. Complications out of lungs, such as rash, liver function damage and cardiac damage can be found in both groups and no signiifcant difference （P〉0.05）. Conclusions Mycoplasma pneumoniae pneumonia in children under 2 years old had the characteristics of mild symptoms, severe pulmonary signs, few pulmonary complications, light systemic inlfammations and mild radiological changes.

关 键 词：肺炎支原体 肺炎 临床特点 儿童 

分 类 号：R725.6[医药卫生—儿科]