儿童重症肺炎支原体肺炎11例临床分析  

Clinical analysis of 11 cases of severe mycoplasma pneumonia

作　　者：赵顺英[1] 马云[1] 张桂芳[1] 江载芳[1] 

机构地区：[1]首都医科大学附属北京市儿童医院内科,100045

出　　处：《中国实用儿科杂志》2003年第7期414-416,共3页Chinese Journal of Practical Pediatrics

摘　　要：目的　探讨重症肺炎支原体肺炎 (MPP)的诊断和治疗问题。方法　分析 11例重症MPP患儿的临床特征、诊治过程 ,并结合文献进行讨论。结果　在 11例MPP患儿中 ,X线胸片表现为双侧或单侧大叶肺实变 ,合并中至大量胸腔积液 4例 ;起病急 ,高热 ,咳嗽剧烈 ,X线胸片表现为大叶肺实变 ,对阿奇霉素治疗无明显反应 4例 ,其中 1例合并全身炎症反应综合征。 11例MPP中 6例出现闭塞性支气管炎。结论　肺炎支原体 (MP)可引起重症肺炎 ,对于临床上有上述表现的重症肺炎 ,应考虑到MPP的可能性。根据发病机制 ,对MPP患儿除应用大环内酯类抗生素外 ,可并用利福平、肾上腺皮质激素和大剂量丙种球蛋白治疗。Objective To explore the diagnosis and treatment of severe mycoplasma pneumonia(MPP).Methods Clinical manifestations,diagnosis and treatment of 11 cases of severe MPP were reviewed.Results 4 cases of MPP presented lobar consolidation with large pleural effusion bilaterally and unilaterally;4 cases showed no good response to Azithromycin,with one of them complicated with systemic inflammatory response syndrome;6 cases were complicated with bronchitis obliterans.Conclusion MPP can cause severe pneumonia.Rifampin,steroid and/or intravenous immunoglobulin can be added with antibiotics to treat severe MPP.

关 键 词：重症肺炎支原体肺炎 诊断 治疗 儿童 临床分析 

分 类 号：R725.631[医药卫生—儿科]