影像学不同表现的儿童肺炎支原体肺炎的临床特征  

Clinical characteristics of Mycoplasma pneumoniae pneumonia with different imaging changes in children

作　　者：李洁[1] 周浩泉 胡嫚 LI Jie;ZHOU Hao-quan;HU Man(Department of Pediatrics,the First Affiliated Hospital of University of Science and Technology of China,Hefei,Anhui 230001,China)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)儿内科,安徽合肥230001

出　　处：《临床肺科杂志》2020年第7期1041-1045,共5页Journal of Clinical Pulmonary Medicine

基　　金：安徽省科技厅重点研究与发展计划项目(No.1804e03020323)。

摘　　要：目的探讨影像学不同表现的儿童肺炎支原体肺炎(MPP)的临床特征的差异。方法回顾性分析2018年4月至2018年11月我院住院治疗的MPP患儿的临床资料,依据影像学表现分为三组:肺纹理增多、增粗型组;小点片状或斑片状浸润型组;大片状或节段性实变浸润型组,比较这三组的临床特征。结果收集的165例病例中,大片状或节段性实变浸润型组患儿发热、长热程、高热及单侧右肺受累较其他两组更多见(均<0.05);而肺纹理增多、增粗型组的喘息、喘鸣音及双肺病变发生率高于其他两组(均<0.05);三组患儿白细胞计数、CRP值、应用阿奇霉素/红霉素开始治疗时间比较,差异无统计学意义。结论大片状或节段性实变浸润型组以学龄期儿童更常见,单侧右肺受累为主,而其他两组以婴幼儿、学龄前期儿童更多见,双肺受累为主;临床工作中对于影像学表现不同的MPP患儿早期做出识别,及早治疗,可以减少难治性MPP的发生。Objective To explore the clinical characteristics of Mycoplasma pneumoniae pneumonia(MPP)with different imaging changes in children.Methods The clinical data of children with MPP were retrospectively analyzed from April 2018 to November 2018 in our hospital.The patients were divided into 3 groups according to the imaging findings:the lung texture enlargement group(the group 1),the dot flake or patchy infiltration group(the group 2)and the large flake or segmental consolidation infiltration group(the group 3).The clinical characteristics were compared among the three groups.Results Among 165 cases,patients with fever,long hot process,high fever,and unilateral right lung involvement in the group 3 were more than the other two groups(all P<0.05),and the incidence of breathing,wheezing,and double lung disease in the group 2 were higher than the other two groups(all P<0.05).There was no significant difference in white blood cell count,CRP value and application of azithromycin and erythromycin treatment time among the three groups.Conclusion MPP patients with large flake or segmental consolidation infiltration are more common in school-age patients,and unilateral right lung involvement are more than other two groups.While the other two groups of MPP patients are more common in infants and preschool children,who are easy to double lung involvement.Imaging findings for different patients with MPP can make early recognition and early treatment in clinical work,which can reduce the occurrence of refractory MPP.

关 键 词：肺炎支原体肺炎 影像学 儿童 临床特征 

分 类 号：R725.6[医药卫生—儿科]