小儿肺炎支原体感染76例临床分析_临床医学论文.docVIP

小儿肺炎支原体感染76例临床分析_临床医学论文 小儿肺炎支原体感染76例临床分析_临床医学论文 作者：雷智贤 羊玲 翁书彪 钟丽花 梁涛 【摘要】 目的 探讨小儿肺炎支原体感染病例临床特点。方法 回顾性总结76例肺炎支原体感染住院患儿的临床资料并进行统计学处理。结果 婴幼儿病例43例，占56.5%；3岁以上患儿33例，占43.4%。婴幼儿病例中肺部出现湿口罗音者23例，占53.5% ；3岁以上患儿中肺部出现湿口罗音者6例，占18.2% ，二者之间差异有极显著性（P＜0.01）。婴幼儿病例中出现肺外并发症者12例，占27.9%；3岁以上患儿出现肺外并发症者16例，占48.5%；二者之间差异有显著性（P＜0.05）。结论 肺炎支原体感染患儿中婴幼儿病例与3岁以上患儿临床表现差异较大，婴幼儿病例以肺部表现明显且较重，而3岁以上患儿则肺部体征不明显，更易发生肺外并发症，所有病例阿奇霉素治疗效果好，疗程短。 【关键词】 小儿 肺炎支原体 并发症 阿奇霉素. 【Abstract】 Objective To study the clinical features of children with mycoplasma pneumonia.Methods 76 children were in-patient department.To summarize these clininal data and statistically analysis.Results 43 infants and young children accounted for 55.3 percent of all cases，older children accounting for 44.7 percent.Moist rales were heard from the lungs of 23 infants and young children ，accounting for 53.5 per cent.Moist rales were heard from the lungs of 6 older children，accounting for 18.2 percent.There was significant different between different groups of age in childhood(0.01).Complications outside the lung occurred from 12 infants and young children，accounting for 27.9 percent.Complications outside the lung occurred from 16 older children，accounting for 48.5 percent. There was statistically difference (0.05).Conclusion Clinical manifestation of cases with mycoplasma pneumonia is variable among different groups of age in childhood.Sign from the lung is more dramatic for infants and young children，but complications outside the lung was more frequent for older children.All cases were treated by azithromycin with good results，and treatment course is short. 【Key words】 children mycoplasma pneumonia complications azithromycin 肺炎支原体（MP）是小儿感染性疾病重要的病原体之一。MP不仅侵袭呼吸道，还可导致多系统、多器官损害，已越来越受到儿科临床医师的重视。现将我科近2年来诊断MP感染患儿临床资料进行总结，报告如下。 1 资料与方法 1.1 一般资料 2003年1月～2004年12月住院患儿中诊断MP感染患儿76例为观察对象。其中男48例，女28例；年龄55天～12岁；＜1岁20例，～3岁23例，～5岁17例，≥5岁16例；婴幼儿共43例，占56.5%；3岁以上患儿33例，占43.4%。发病季节：第1、2季度26例，占34.2%，第3、4季度50例，占65.8%。所有病例占同期住院小儿肺炎的17.8%（76/427）。 1