小儿肺炎支原体肺炎合并腹泻患儿的临床发病特点观察  

Observation on the Clinical Characteristics of Children with Mycoplasma Pneumoniae Pneumonia and Diarrhea

作　　者：赵园园 ZHAO Yuanyuan(Department of Pediatrics,the Fourth People's Hospital of Huludao City,Huludao 125003,China)

机构地区：[1]辽宁省葫芦岛市第四人民医院儿科,辽宁葫芦岛125003

出　　处：《中国医药指南》2021年第6期45-46,共2页Guide of China Medicine

摘　　要：目的对小儿肺炎支原体肺炎合并腹泻患儿的临床发病特点进行分析。方法选择2018年4月至2019年7月我院收治的小儿肺炎支原体肺炎279例作为本文调查对象,回顾性分析所有患儿的临床资料,对小儿肺炎支原体肺炎进行诊断,并且诊断小儿腹泻、病毒性肠炎、细菌性肠炎、真菌性肠炎,并对小儿肺炎支原体肺炎合并腹泻的临床发病特点进行总结。结果 279例小儿肺炎支原体肺炎患儿中合并腹泻的患儿133例,所占比例为47.67%;在治疗之前两种症状合并存在的患儿51例,占38.35%,治疗以后两种症状合并存在的患儿82例,占61.65%;在两种症状合并存在的患儿中,3月龄~3周岁患儿72例,占54.14%,4周岁~13周岁的患儿61例,占45.86%;在两种症状合并存在的患儿中,确诊为细菌性肠炎63例,占47.37%,确诊为轮状病毒性肠炎27例,占20.30%,确诊为真菌性肠炎11例,占8.27%,其他32例,占24.06%;56例细菌性肠炎患儿发生在6~8月份,占细菌性肠炎的88.89%,24例轮状病毒性肠炎发生在9~11月份,占轮状病毒性肠炎的88.89%,真菌性肠炎在各个月份均有发生。结论小儿肺炎支原体肺炎合并腹泻的患儿一般发病年龄主要集中在3月龄~7周岁,而主要发病因素为细菌性肠炎和轮状病毒性肠炎,临床需要针对该类患儿进行有效的干预和强化监视。Objective The clinical characteristics of children with mycoplasma pneumoniae pneumonia and diarrhea were analyzed.Methods Selected 279 cases of mycoplasma pneumoniae pneumonia in children admitted to our hospital from April 2018 to July 2019 as the investigation objects of this article,retrospectively analyzed the clinical data of all children,diagnosed children with mycoplasma pneumoniae pneumonia,and diagnosed children with diarrhea and viral enteritis,bacterial enteritis,fungal enteritis,and the clinical characteristics of children with mycoplasma pneumoniae pneumonia combined with diarrhea were summarized.Results Among the 279 children with mycoplasma pneumoniae pneumonia,133 children with diarrhea,accounting for 47.67%;51 children with two symptoms before treatment,accounting for 38.35%,and two symptoms after treatment there were 82 children,accounting for 61.65%.Among the children with the two symptoms,72 children aged 3 months to 3 years old,accounting for 54.14%,and 61 children aged 4 to 13 years old,accounting for 45.86%;among children with the two symptoms,63 cases were diagnosed as bacterial enteritis,accounting for 47.37%,27 cases were diagnosed as rotavirus enteritis,accounting for 20.30%,11 cases were diagnosed as fungal enteritis,accounting for 8.27%,others 32 cases,accounting for 24.06%;56 cases of bacterial enteritis occurred in June to August,accounting for 88.89%of bacterial enteritis,24 cases of rotavirus enteritis occurred in September to November,accounting for rotavirus enteritis 88.89%,fungal enteritis occurred every month.Conclusion The general age of onset of children with mycoplasma pneumoniae pneumonia and diarrhea is mainly between 3 months and 7 years of age,and the main pathogenic factors are bacterial enteritis and rotavirus enteritis.Effective clinical intervention is needed for these children,and strengthen surveillance.

关 键 词：小儿肺炎支原体肺炎 腹泻 发病特点 

分 类 号：R725.6[医药卫生—儿科]