肺炎支原体肺炎住院儿童合并胸腔积液的危险因素分析  

Analysis of Risk Factors of Mycoplasms Pneumoniae Pneumonia with Pleural Effusion in Hospitalized Children

作　　者：王冠玲[1] 胡斌飞[1] 

机构地区：[1]宁波市妇女儿童医院,315012

出　　处：《医学研究杂志》2017年第2期142-144,161,共4页Journal of Medical Research

摘　　要：目的探讨肺炎支原体肺炎(MPP)住院儿童合并胸腔积液病例的临床特点,以提高临床医师对其早期识别,以利于正确诊治。方法采用回顾性病例对照研究方法,对普通MPP患儿(普通组)及合并胸腔积液组(MPP合并胸腔积液组)进行分析比较,对可能与MPP合并胸腔积液的危险因素进行分析。结果 112例MPP患儿中,合并胸腔积液36例,统计学分析显示,MPP合并胸腔积液独立的危险因素包括发热天数>10天(OR=13.759,P<0.05)、C反应蛋白(CRP)>40mg/L(OR=6.634,P<0.05)、红细胞沉降率(ESR)>45mm/h(OR=6.938,P<0.05)、节段性或肺叶病变(OR=3.642,P<0.05)。结论MPP合并胸腔积液与多因素相关,要做到及早诊断,及时治疗,避免更严重的后遗症发生。Objective To investigate the clinical characteristics of Mycoplasms pneumoniae pneumonia（MPP） and identify the ralated risk factors of MPP with pleural effusion in hospitalized children, which will help clinicians understand the factors and provide better clinical diagnose and treatments. Methods A retrospective-case control study was carried on general MPP group cases（n=76） and MPP with pleural effusion group cases（n=36） which based on the findings of X-ray and（or） CT Scan. Nonparametric test and single factor Chi-square test, two independent sample t test, and logistic regression analysis were employed to determine risk factors. Results Of 112 patients with MPP, 36 cases of MPP with pleural effusion. The statistical analysis demonstrated that total duration of fever over 10 days（OR=13.759,P〈0.05）, levels of C-reactive protein（CRP）〉40mg/L（OR=6.634,P〈0.05） and erythrocyte sedimentation rate（ESR） 〉45mm/h（OR=6.938,P〈0.05）, the severe segmental/lobar pulmonary lesions（OR=3.642,P〈0.05） were independent risk factors of mycoplasms pneumoniae pneumonia. Conclusion Prolonged fever, raised levels of CRP and ESR, severe pulmonary lesions are the significant influence factors to MPP with pleural effusion. Early diagnosis and treatment is very important to prevent the serious sequelae.

关 键 词：肺炎支原体肺炎 儿童 胸腔积液 危险因素 

分 类 号：R72[医药卫生—儿科]