重症肺炎支原体脑炎的临床特点  

Clinical characteristics of severe Mycoplasma pneumoniae encephalitis

作　　者：贺杰[1] 张新萍[1] He Jie;Zhang Xinping(Emergency Center, Hunan Children＇s Hospital, Changsha 410007, China)

机构地区：[1]湖南省儿童医院急救中心,长沙410007

出　　处：《中华实用儿科临床杂志》2018年第12期884-887,共4页Chinese Journal of Applied Clinical Pediatrics

摘　　要：肺炎支原体感染除可导致呼吸系统疾病外，还可造成呼吸系统以外多器官系统损伤，而神经系统损害是较为常见的肺外并发症。近年来肺炎支原体脑炎的发病率也在逐渐增加。肺炎支原体脑炎的发病机制尚未完全明确，目前尚无统一诊断标准。治疗主要选用对儿童发育不良反应少的大环内酯类抗生素，也可联用静脉丙种球蛋白。肺炎支原体脑炎的预后与临床表现、起病年龄、影像学改变及是否及时治疗等均有关。Besides respiratory system, Mycoplasma pneumoniae infection can also cause diseases in other organ systems,and nervous system impairment is the common extrapulmonary complications. Recent years, the morbidity of Mycoplasma pneumoniae encephalitis is uprising. As the pathogenesis of Mycoplasma pneumonia encephalitis is not clear, so uniform diagnosis standard hasn＇t been acquired up to now. Its treatment mainly uses macrolides with less na- gative effects on children＇s body growth, and intravenous immunoglobulin could also be used jointly. The prognosis of Mycoplasma pneumonia encephalitis is related with clinical manifestation, age of onset, imageological change and whe- ther receiving timely treatment or not.

关 键 词：肺炎支原体脑炎 大环内酯类 临床特点 

分 类 号：R725.6[医药卫生—儿科]