支原体肺炎患儿不同影像学表现的临床特征分析  

Clinical characteristics of different imaging manifestations in children with mycoplasma pneumonia

作　　者：张晓明[1] 张丽[1] 陈杰斌[2] Zhang Xiaoming;Zhang Li;Chen Jiebin(The Third People's Hospital of Taizhou City,Taizhou,Jiangsu 225321;The People's Hospital of Taizhou City,Taizhou,Jiangsu 225321)

机构地区：[1]泰州市第三人民医院,江苏泰州225321 [2]泰州市人民医院,江苏泰州225321

出　　处：《基层医学论坛》2021年第16期2246-2248,共3页The Medical Forum

摘　　要：目的分析比较不同影像学表现的支原体肺炎患儿的临床特征。方法对2018年1月—2019年12月共155例支原体肺炎患儿进行回顾性分析,按照其不同X线影像学表现分为3组,对比3组患儿的临床特征差异。结果间质性肺炎组哮鸣音发生率最高,大叶性肺炎组最低;大叶性肺炎组>40℃高热、胸腔积液发生率最高,间质性肺炎组最低;经皮血氧饱和度≤92%支气管肺炎组最低;大叶性肺炎组LDH升高、CRP升高最高,支气管肺炎组最低。大叶性肺炎组阿奇霉素开始治疗时间最短,间质性肺炎组最长;大叶性肺炎组糖皮质激素使用率、转外院支气管镜灌洗率最高,间质性肺炎组最低;大叶性肺炎组吸氧率最高,支气管肺炎组最低;大叶性肺炎组心、肝损害率及难治性支原体肺炎率最高,间质性肺炎组最低。结论不同影像学表现的支原体肺炎患儿在临床特征上存在明显的差异,应尽早进行影像学检查,可指导临床早期进行治疗,有助于改善患儿预后。Objective To analyze and compare the specific clinical features of mycoplasma pneumonia in children with different imaging manifestations.Methods a total of 155 children with mycoplasma pneumonia from January 2018 to December 2019 were retrospectively analyzed and divided into three groups according to their different X-ray imaging manifestations,and the clinical characteristics of the three groups were compared.Results the incidence of wheezing was the highest in the interstitial pneumonia group,and the lowest in the lobar pneumonia group;the highest incidence of hyperthermia and pleural effusion in the lobar pneumonia group,and the lowest in the interstitial pneumonia group;the lowest in the bronchial pneumonia group with the percutaneous oxygen saturation≤92%;the highest LDH and CRP levels in the lobar pneumonia group,and the lowest in the bronchial pneumonia group.The treatment time of azithromycin in lobar pneumonia group was the shortest,while that of interstitial pneumonia group was the longest;the glucocorticoid utilization rate and bronchoscopy lavage rate in lobar pneumonia group were the highest,while those in interstitial pneumonia group were the lowest;the oxygen uptake rate in lobar pneumonia group was the highest,and the lowest in bronchial pneumonia group;the heart and liver damage rate and refractory Mycoplasma pneumonia rate were the highest in lobar pneumonia group,while interstitial pneumonia was the highest in lobar pneumonia group The group was the lowest.Conclusion There are obvious differences in clinical characteristics of mycoplasma pneumonia in children with different imaging manifestations.Early imaging examination and judging clinical characteristics according to imaging manifestations can guide clinical early treatment and improve the prognosis of children.

关 键 词：支原体肺炎 小儿 影像学表现 临床特征 

分 类 号：R614.2[医药卫生—麻醉学]