儿童大叶性肺炎临床特点分析  

Analysis of clinical characteristics of lobar pneumonia in children

作　　者：姚月华 宋均亚 裴鑫 YAO Yuehua;SONG Junya;PEI Xin(Affiliated Hospital of Shandong Academy of Traditional Chinese,pediatrics,250014,China;Shandong Maternal and Child Health HospitalJinan,pediatrics,250014,China)

机构地区：[1]山东省中医药研究院附属医院儿科,济南250014 [2]山东省妇幼保健院儿科,济南250014

出　　处：《新疆医学》2025年第3期341-344,共4页Xinjiang Medical Journal

基　　金：山东省中医药科技项目(项目编号:Q-2023112)。

摘　　要：目的通过对2021年8月至2022年01月期间入院接受治疗的158名患有大叶性肺炎的儿童的临床信息进行回顾性分析,方法总结出儿童大叶性肺炎的临床特征。结果在158例患儿中,主要临床症状包括咳嗽、咳痰(100.0%)、发热(94.3%)和肺部啰音(80.3%)。在病原学检测方面,肺炎支原体感染率为69.6%,EB病毒感染率为34.8%,两者合并感染率为25.9%。实验室指标检查显示,白细胞计数增高占16.4%,CRP增高占52.5%,血沉增高占19.6%,而维生素D缺乏占50.0%。影像学检查显示,肺炎范围涉及双肺的占57.0%,左肺的占15.2%,右肺的占27.8%。结论综上所述,支原体是导致大叶性肺炎的主要病原体之一,其病变局限于双肺。维生素D的不足较为常见,而支原体感染与EB病毒感染是最常见的病原体。Objective Through a retrospective analysis of clinical data from 158 pediatric patients admitted to the hospital with lobular pneumonia between August 2021 and January 2022,we have summarized the clinical characteristics of lobular pneumonia in children.Among these 158 patients,the predominant clinical symptoms included cough(100.0%),sputum production(100.0%),fever(94.3%),and pulmonary rales(80.3%).Regarding etiological detection,the infection rate of Mycoplasma pneumoniae was found to be 69.6%,while that of Epstein-Barr virus was observed at 34.8%.The combined infection rate for both pathogens was recorded as 25.9%.Laboratory investigations revealed an elevated white blood cell count in 16.4%of cases,increased C-reactive protein levels in 52.5%,elevated erythrocyte sedimentation rate in 19.6%,and vitamin D deficiency in half of the patients(50%).Radiographic findings demonstrated bilateral lung involvement in approximately three-fifths of cases(57%),left lung involvement in around one-sixth(15.2%)and right lung involvement in just over one-fourth(27.8%).In conclusion,Mycoplasma is identified as one of the primary causative agents responsible for lobar pneumonia with lesions predominantly affecting both lungs bilaterally;additionally,vitamin D deficiency is commonly observed alongside infections caused by Mycoplasma or Epstein-Barr virus.

关 键 词：大叶性肺炎 临床特点 

分 类 号：R264.4[医药卫生—中医外科学]