儿童支原体肺炎合并胸腔积液诊断及处理  

Diagnosis and treatment of pleural effusion caused by my-coplasma pneumoniae in children

作　　者：郑宝英[1] 曹玲[1] 

机构地区：[1]首都儿科研究所附属儿童医院呼吸内科,北京100020

出　　处：《中国实用儿科杂志》2017年第3期171-174,共4页Chinese Journal of Practical Pediatrics

摘　　要：肺炎支原体是引起儿童社区获得性肺炎的重要病原之一。4%~20%的支原体肺炎可并发胸腔积液。肺炎支原体感染机体后,通过直接和间接损伤导致胸膜炎症,促进胸腔积液的形成。支原体性胸腔积液多预后良好,经过抗炎及糖皮质激素治疗后积液可吸收。积液量多时可进行胸腔穿刺术,较少需要胸腔闭式引流及外科手术治疗。Mycoplasma pneumoniae is one of the most impor- tant pathogens causing community-acquired pneumonia in children. About 4%-20% of the M.pneumoniae- associated pneumonia are complicated by pleural effusion. The M.pneu- moniae infection can lead to inflamation of pleura through di- rect damage and indirect injury. The pleural effusion caused by M.pneumoniae can disappear after the treatment with antibi- otics and glucocorticoids; thoracentesis can be carried out to deal with large amount of pleural effusion, for which use of chest tube drainage and surgical intervention are rarely used.

关 键 词：肺炎支原体 胸腔积液 诊断 治疗 

分 类 号：R72[医药卫生—儿科]