小儿肺炎支原体支气管肺炎和大叶性肺炎的临床与免疫特征  

Clinical and immunological characteristics of children with mycoplasma pneumoniae-related bronchial pneumonia and lobar pneumonia

作　　者：王淑会[1] 季伟[1] 严永东[1] 周卫芳[1] 李晓狄[1] 

机构地区：[1]苏州大学附属儿童医院呼吸病科,江苏省215003

出　　处：《江苏医药》2015年第7期767-769,共3页Jiangsu Medical Journal

基　　金：江苏省社会发展项目(BE2012652)

摘　　要：目的比较小儿肺炎支原体(MP)支气管肺炎和大叶性肺炎的临床与免疫特征。方法5岁以下MP肺炎(MPP)患儿167例,依影像表现分为支气管肺炎114例(A组)和大叶性肺炎53例(B组)。比较两组临床特征和相关免疫相关指标。结果与B组比较,A组喘息比例高,发热比例低,而年龄较小(P<0.05);B组的中性粒细胞、CD3-CD8+、C反应蛋白和IgA均高于A组,而淋巴细胞和CD4/CD8低于A组(P<0.05)。结论小儿MP支气管肺炎和大叶性肺炎的临床与免疫特征有一定差异。Objective To compare the characteristics of children with mycoplasma pneumonia（MP）-related bronchial pneumonia and lobar pneumonia.Methods According to imaging performance,167 children under five years old with MP pneumonia（MPP）were divided into two groups of A（bronchial pneumonia,114 cases）and B（lobar pneumonia,53 cases）.Clinical characteristics and related immune indicators were compared.Results Compared to group B,the percentage of children with wheeze symptoms was more and that with fever was less（P〈0.05）.The age was younger in group A than that in group B（P〈0.05）.The levels of neutrophils,CD3-CD8＋,C reactive protein and IgA were higher,but lymphocytes and CD4/CD8 ratio were lower,in group B than those in group A（P〈0.05）.Conclusion The characteristics of MP-related bronchial pneumonia and lobar pneumonia have a certain difference in children under five years old.

关 键 词：肺炎支原体 支气管肺炎 大叶性肺炎 

分 类 号：R725[医药卫生—儿科]