小儿肺炎支原体肺炎合并胸腔积液的临床特征观察  

Clinical Characteristics of Mycoplasma Pneumoniae Pneumonia with Pleural Effusion in Children

作　　者：王莹莹 WANG Yingying(Department of Paediatrics,Yingkou Hospital of Traditional Chinese Medicine,Yingkou 115002,China)

机构地区：[1]营口市中医院儿科,辽宁营口115002

出　　处：《中国医药指南》2022年第24期110-112,共3页Guide of China Medicine

摘　　要：目的 探讨小儿肺炎支原体肺炎合并胸腔积液的病因及临床特征,为提高诊治水平提供参考依据。方法 收集我院于2018年1月至2019年12月间收治的78例小儿肺炎支原体肺炎合并胸腔积液的患儿进行临床治疗观察。入选患儿均出现咳嗽、发热等症状;伴有痰液的患儿66例;伴气促患儿53例,其中15例呼吸困难、13例呕吐、11例胸痛。分析患儿的临床资料、诊治方法及临床效果。结果 肺炎支原体肺炎合并胸腔积液的患儿D-二聚体、降钙素原、C-反应蛋白在入院后24 h内指标与正常体检儿童指标差异对比显著,P <0.05;肺炎支原体肺炎合并胸腔积液的患儿D-二聚体、降钙素原、C-反应蛋白在发病期与恢复期升高程度差异对比显著,P <0.05;患儿积液量的程度与患儿D-二聚体、降钙素原、C-反应蛋白呈正相关。积液量越大,D-二聚体、降钙素原、C-反应蛋白指数越高。经检验均P <0.05。结论 D-二聚体、降钙素原、C-反应蛋白水平能有效的反应患儿肺炎支原体肺炎合并胸腔积液疾病的严重程度以及患儿胸腔的积液量,同时也可以作为患儿预后的衡量指标。Objective To investigate the etiology and clinical characteristics of mycoplasma pneumoniae pneumonia complicated with pleural effusion in children,and to provide reference for improving the diagnosis and treatment level.Methods Seventy-eight cases of children with mycoplasma pneumoniae pneumonia complicated with pleural effusion admitted to our hospital from January 2018 to December 2019 were collected for clinical observation.All the selected children had cough and fever.66 children with phlegm;There were 53 children with shortness of breath,including 15 dyspnea,13 vomiting and 11 chest pain.The clinical data,diagnosis and treatment methods and clinical effects were analyzed.Results The indexes of D-dimer,procalcitonin and C-reactive protein in children with mycoplasma pneumoniae pneumonia complicated with pleural effusion were significantly different from those of normal children in 24 hours after admission,P<0.05;The increase of D-dimer,procalcitonin and C-reactive protein in patients with mycoplasma pneumoniae pneumonia complicated with pleural effusion was significantly different between onset and recovery,P<0.05;The degree of effusion was positively correlated with D-dimer,procalcitonin and C-reactive protein.The index of D-dimer,procalcitonin and C-reactive protein increased with the increase of fluid accumulation P<0.05.Conclusion The levels of D-dimer,procalcitonin and C-reactive protein can effectively reflect the severity of mycoplasma pneumoniae pneumonia complicated with pleural effusion and the amount of pleural effusion in children,and can also be used as a measure of the prognosis of children.

关 键 词：小儿肺炎 支原体肺炎 胸腔积液 

分 类 号：R725.6[医药卫生—儿科]