65例小儿肺炎支原体肺炎临床研究.docVIP

65例小儿肺炎支原体肺炎临床研究【摘要】 目的 进一步加深对儿童肺炎支原体肺炎的临床表现、影像学特点及治疗的认识。方法 回顾性分析2010年1月至10月江苏大学附属医院儿科65例肺炎支原体感染的住院患儿临床表现、影像学特点及治疗。结果 本组患儿多为支原体肺炎(65例)，主要表现为持续发热, 顽固性剧烈咳嗽, 肺部体征不明显, 胸部X线表现下肺多于上肺, 右肺多于左肺, 婴幼儿主要为斑片状模糊影，年长儿则表现为节段或大叶实变及大片状阴影；且婴幼儿较年长儿更多伴有肺外脏器受损表现。早期规范使用大环内酯类抗生素的治疗，对疾病的转归有重要意义，同时有肺外合并症者, 还应积极采取相应的治疗措施。结论 应加深对肺炎支原体感染后的发病机制，临床表现及合理用抗生素、糖皮质激素等药物的进一步认识，以便有效地提高儿科医生对肺炎支原体肺炎的诊治水平。? 【关键词】 小儿;肺炎支原体;肺炎;临床分析 ?? Clinical analysis of 71 mycoplasma pnuemoniae infection in children XU Ri -hong, PAN Xiao-jing, WANG Suo-ying,et al.Zhenjiang Renji Hospital,Zhenjiang 212009 China ? 【Abstract】 Objective To provide more knowledge of the Clinical manifestation, imaging characteristics and therapy of mycoplasma pneumoniae pneumonia in children. Methods The clinical data of 65 hospitalized children with mycoplasma pneumoniae (MP)infection from January to October, 2010 in affiliated hospital of Jiangsu University were retrospectively analyzed. Methods Most of those children were mycoplasma pneumoniae pneumonia patients, and their clinical main show was persistent fever, irritant dry cough, inapparent pulmonary signs. The chest X-ray revealed that more shadow in right lung and lower lobe to left lung and the upper lobe, and high density spot like slice shadow were observed in infants, while consolidation in lobar distribution was exhibited in elder children. Using macrolide antibiotics early with standard is an efficient method forconvalescence of MPP. Conclusion It is very helpful to improve thephysician?s level of diagnosis and treatment that understanding the causal mechanisms，clinical feature and select the methods of treatment of MPP.? 【Key words】 Children; Mycoplasma pneumoniae; Pneumonia; Clinical analysis 肺炎支原体(MP)是介于细菌和病毒之间的一种超滤过性病原微生物，现已逐渐成为小儿呼吸系统疾病特别是社区获得性肺炎的主要病原体，肺炎支原体肺炎(MPP)每隔3～8年可在社区中流行一次[1]。本文对2010年1月至10月本院诊治的71例支原体感染的住院儿童的临床表现、影像学变化及临床治疗等资料进行回顾性总结分析,进一步提高对小儿肺炎支原体感染的认识。现报告如下。? 1 资料与方法? 1.1 一般资料 取本院2010年1月到2010年10月71例肺炎支原体感染患儿，其中诊断为支原体肺炎(MPP)的住院患儿共6