小儿以肺外损害为首发症状的肺炎支原体感染临床分析  

Clinical analysis on children with extrapulmonary damage as the first symptoms of Mycoplasma pneumoniae infection

作　　者：吴国媛[1] 卓俊瑞[1] 

机构地区：[1]莆田学院附属医院,福建莆田351100

出　　处：《泰山医学院学报》2015年第6期633-635,共3页Journal of Taishan Medical College

摘　　要：目的分析小儿以肺外脏器损害为首发症状的肺炎支原体(Mycoplasma pneumoniae,MP)感染的临床表现,提高诊治水平。方法回顾分析以肺外脏器损害为首发症状的79例MP感染患儿临床资料。结果肺炎支原体(MP)感染578例中79例以肺外器官损害为首发症状(13.7%),累及的主要器官有血液系统28例(35.4%)、神经系统19例(24.1%)、皮肤损害11例(13.9%)、消化系统7例(8.9%)、心血管系统6例(7.6%)、结缔组织5例(6.3%)、肌肉关节损害2例(2.5%)、泌尿系统1例(1.3%)。结论小儿肺炎支原体易引起肺外脏器损害,对于常规治疗不理想及诊断不明确患儿,应注意支原体感染,尤其是以肺外脏器损害为首发症状者。Objective：to investigate the clinical manifestations of pediatric extrapulmonary organ damage as first symp-toms of Mycoplasma pneumonia（MP）infection,improve the diagnostic and treatment level. Methods：The clinical data of 79 children with Mycoplasma pneumonia infection of extrapulmonary organ damage as first symptoms were analyzed retro-spectively. Results：Among 578 children with Mycoplasma pneumoniae infection,79 children were found with extrapulmo-nary organ damage as starting symptoms（13. 7% ）,79 children involving the main organs included hematologic system （28children,35. 4% ）,nervous system（ 19children,24. 1% ）,skin lesion（ 11 children,13. 9% ）,digestive system（ 7children,8. 9% ）,cardiovascular system（ 6children,7. 6% ）,connective tissue（5children,6. 3% ）,muscular and joint damage（2children,2. 5% ）,and urinary system（ 1children,1. 3% ）. Conclusion：Damage of other visceral organs is fre-quently observed in children with Mycoplasma infection . Children with respiratory infection and multi - organs disfunction should not overlook the complications caused by Mycoplasma pneumoniae infection ,especially when the symptoms of respir-atory tract infection appear.

关 键 词：支原体肺炎 肺外脏器 首发症状 

分 类 号：R725.6[医药卫生—儿科]