不同年龄段嗜肺军团菌肺炎患儿的肺部临床表现及实验室检查分析  

Clinical Manifestations and Laboratory Examination of Legionella Pneumophila Pneumoniae in Children of Different Ages

作　　者：罗海平 覃肇源[1] 陈靖[1] 陈泽林 邱文庆 何天生 温晓萍 王小丽 关国娴 郭玲芳 LUO Haiping;QIN Zhaoyuan;CHEN Jing;CHEN Zelin;QIU Wenqing;HETiansheng;WEN Xiaoping;WANG Xiaoli;GUAN Guoxian;GUO Lingfang(Huizhou Zhongda Huiya Hospital(Huiya Hospital of The First Affiliated Hospital,Sun Yat-sen University),Huizhou 516081,China)

机构地区：[1]广东省惠州市中大惠亚医院(中山大学附属第一医院惠亚医院),广东惠州516081

出　　处：《中国医学创新》2020年第6期118-121,共4页Medical Innovation of China

基　　金：惠州市科技计划项目(170510091740654)。

摘　　要：目的:探究不同年龄段嗜肺军团菌(legionella pneumophila,LP)肺炎患儿的肺部临床表现及实验室检查结果。方法:选取2013年7月-2018年5月本院收治LP肺炎患儿120例为研究对象。按照年龄不同将其分为婴幼儿组(<3岁)、学龄前儿童组(3~6岁)、学龄期儿童组(7~14岁),各40例。对比三组肺部临床表现及实验室检查结果。结果:三组皮疹、胃肠表现、气促、干咳发生率及发热持续时间比较,差异均有统计学意义(P<0.05),其中婴幼儿组皮疹、胃肠表现、气促、干咳发生率均显著高于学龄前儿童组、学龄期儿童组,学龄期儿童组发热持续时间均长于其他两组,差异均有统计学意义(P<0.05);三组体温>38℃、鼻塞、流涕、湿咳、干啰音、湿啰音、肺部啰音发生率及咳嗽持续时间比较,差异均无统计学意义(P>0.05)。三组WBC>20×10~9/L、CK-MB>10 U/L、LDH升高发生率比较,差异均有统计学意义(P<0.05);三组CRP>8.0 mg/L、AST异常、ALT异常发生率比较,差异均无统计学意义(P>0.05)。结论:不同年龄段LP肺炎患儿具有不同肺部临床表现及实验室检查结果。Objective:To explore the clinical manifestations and laboratory examination results of children with legionella pneumophila (LP) pneumoniae in different ages.Method:From July 2013 to may 2018,120 children with LP pneumoniae were selected as the study objects.According to the age,they were divided into three groups:infants group (<3 years old),preschool children group (3-6 years old),school-age children group (7-14 years old),40 cases in each group.The clinical manifestations and laboratory examination results of the three groups were compared.Result:The incidence of rash,gastrointestinal manifestations,shortness of breath,dry cough and the duration of fever were compared among the three groups,the differences were statistically significant (P<0.05),the incidence of rash,gastrointestinal manifestations,shortness of breath,dry cough in the infants group were significantly higher than those in other two groups,and the duration of fever in the school-age children group were longer than those in the other two groups,the differences were statistically significant (P<0.05).The incidence of temperature >38 ℃,nasal obstruction,runny nose,wet cough,dry rale,wet rale and lung rale and cough duration among the three groups,the differences were not statistically significant (P>0.05).The incidence of WBC>20×10~9/L,CK-MB>10 U/L and LDH rise in the three groups were compared,the differences were statistically significant (P<0.05),the incidence of CRP>8.0 mg/L,AST abnormality and ALT abnormality were compared among the three groups,the differences were not statistically significant (P>0.05).Conclusion:Children with LP pneumonia of different ages have different clinical manifestations and laboratory examination results.

关 键 词：不同年龄段 嗜肺军团菌肺炎 肺部临床表现 实验室检查 

分 类 号：R725.6[医药卫生—儿科]