小儿肺炎支原体肺炎的临床诊断与治疗.docVIP

小儿肺炎支原体肺炎的临床诊断与治疗 　　【摘要】 目的：分析小儿肺炎支原体肺炎的临床诊断及治疗方法和效果。方法：2011年3月-2014年3月笔者所在医院收治的肺炎支原体肺炎患儿64例，对其临床资料进行回顾性分析。结果：64例肺炎支原体肺炎患儿实验室检查中外周血白细胞升高28.13%，外周血白细胞降低21.88%，血沉增快39.06%，心肌酶谱增高10.94%；X胸片检查中云雾状阴影54.69%，肺门周围炎37.50%，支气管炎7.81%；采用阿奇霉素序贯疗法治疗小儿肺炎支原体肺炎临床总有效率96.88%（62/64）。结论：小儿肺炎支原体肺炎的发病率较高，且临床表现不典型，需要通过临床症状、疾病史、实验室检查等进行确诊，在常规治疗基础上，采用阿奇霉素序贯疗法治疗可取得较好效果。 　　【关键词】 小儿肺炎支原体肺炎； 治疗； 阿奇霉素 　　中图分类号 R725.6 文献标识码 B 文章编号 1674-6805（2014）30-0133-02 　　Clinical Treatment and Therapy of Mycoplasma Pneumoniae Pneumonia/HUANG Jie-ming，ZHOU Jian-cheng，TANG Jun.//Chinese and Foreign Medical Research，2014，12（30）：133-134 　　【Abstract】 Objective：To study the methods and effects of clinical diagnosis and treatment of Mycoplasma pneumoniae pneumonia.Method：The clinical data of 64 cases of mycoplasma pneumoniae pneumonia from March 2011 to March 2014 in our hospital was retrospective analysed.Result：64 cases of mycoplasma pneumoniae pneumonia were laboratory examination of peripheral，white blood cells increased in 28.13% or decreased in 21.88%，ESR increased in 39.06% and spectrum of myocardial enzymes increased in 10.94%，X chest radiograph in foggy shadows 54.69%，chest door inflammation around 37.50%，and the bronchitis was 7.81%，the azithromycin sequential therapy of mycoplasma pneumoniae pneumonia in children the total clinical efficacy rate was 96.88%（62/64）.Conclusion：Mycoplasma pneumoniae pneumonia incidence is higher，and the clinical manifestation is not typical，need to be confirmed by the clinical symptoms，disease history，laboratory examination，in general on the basis of conventional therapy，the better effect of azithromycin sequential therapy desirable. 　　【Key words】 Mycoplasma pneumoniae pneumonia； Treatment； Azithromycin 　　First-author’s address：Dongguan City Changping Hospital，Dongguan 523573，China 　　小儿肺炎支原体肺炎多发生于6～11岁儿童群体中，是小儿呼吸道感染引发的一种严重性疾病。据相关统计，小儿肺炎支原体肺炎在肺炎总发病率中占10%～30%，且疾病临床症状多样，极易导致误诊或漏诊[1-2]。因此，提高诊断率，给予及时治疗具有重要意义。为进一步探讨小儿肺炎支原体肺炎的临床诊断及治疗方法，特对笔者所在医院收治的患儿临床资料进行回顾性分析，现报告如下。 　　1 资