支原体肺炎的临床路径（Clinical pathway of mycoplasma pneumonia）.doc

支原体肺炎的临床路径（Clinical pathway of mycoplasma pneumonia） Mycoplasma pneumoniae, clinical pathway Lindian Academy of traditional Chinese medicine (TCM) was drafted in 2011 and expanded according to (2009 Edition) I. mycoplasma pneumonia clinical pathway standard hospitalization procedure (1) applicable objects. The first diagnosis was Mycoplasma pneumoniae (ICD-10:J15.7) (two) diagnosis basis. 1., more than 5-18 years old, [more vulnerable children, age range can be expanded]. 2. cough is prominent and persistent. General irritating dry cough more than 7 days, the focus of consideration, part of the performance of high fever, or cough and high fever at the same time. ] 3. lung sign is little while chest X-ray changes early and obvious. Most of them are interstitial pneumonia, segmental pneumonia, ulceration, enhancement of texture or accumulation of fluid, interstitial infiltration 4. use penicillin is invalid, macrolide antibiotic treatment effect is good. 5. the number of WBC in the peripheral blood was normal or elevated. 6. serum Mycoplasma pneumoniae IgM antibody positive or serum cold agglutination titer 1:32 or throat swab separation Mycoplasma positive, can be used as the basis for clinical diagnosis. (three) treatment options. 1. macrolide antibiotics (methods followed by the pediatric drug) [often choose azithromycin, erythromycin and kitasamycin and erythromycin, roxithromycin]. 2. symptomatic treatment (such as inhalation) [can give vitamin K1 inhalation cough, cartussin, compound pholcodine oral; high fever, available Aspisol and Bloven, acetaminophen antipyretic]. (four) the standard hospital stay was 7-14 days. (five) access to path standards. 1. the first diagnosis must be consistent with the ICD-10:J15.7 Mycoplasma pneumoniae disease code. 2. when the patient has other diseases at the same time, as long as the hospital does not need special treatment, and does not affect the first diagnosis of the clinical path, the process can be implemented when enter