小儿肺炎支原体肺炎84例临床剖析.docVIP

小儿肺炎支原体肺炎84例临床剖析 　　 摘要：目的：探讨小儿肺炎支原体肺炎（MPP）的临床特点及治疗方法。方法：对84例确诊为MPP患儿的临床特点及治疗方法进行回顾性分析。结果：本组患儿以学龄期儿童40例（47.6%）为主。症状以持续咳嗽84例（100%）、发热72例（85.7%）为主。临床症状多于肺部体征，X线所见较体征显著。肺外并发症主要有消化系统、心血管系统、皮肤、黏膜、中枢神经系统损害。血清肺炎支原体特异性IgM抗体（MP-IgM）均阳性。用大环内酯类抗生素治疗3～4周均治愈。结论:小儿MPP好发于学龄期儿童，肺外并发症可累及多个系统，早期诊断可结合血清学MP-IgM检测助诊，大环内酯类抗生素仍是有效的治疗药物。 　　关键词：肺炎；肺炎支原体；肺外并发症；儿童Abstract:Objective: To explore the clinical characteristics and treatment method of pediatric pneumonia mycoplasma pneumonia (MPP).Methods:The clinical characteristics and treatment methods of 84 cases were diagnosed as children of the MPP were reviewed and examined.Results:The children give priority to learning age children 40 cases (47.6%). Symptoms of give priority tocontinuous cough 84 cases (100%), fever 72 cases (85.7%). Clinical symptoms are more than the lungs signs,and X line have seen a significant signs. Pulmonary complications main including the digestive system, cardiovascular system, skin, mucous membrane, central nervous system damage.Both serum mycoplasma pneumoniae specific antibodies and IgM (MP-IgM) are positive that could cured by big ring lactone class antibiotic for 3~4 weeks treatment. Conclusions: Pediatric MPP is better than learning age children, pulmonary complications could involving the multi-system, early diagnosis can be combined with serology MP-IgM detection to cure,What’s more It is still effective drug treatment of large ring lactone class antibiotic. 　　Key words: Pulmonitis; Mycoplasma pneumomiae ;Pulmonary complications;Children 　　 　　【中图分类号】R725.6【文献标识码】B【文章编号】1672-3783(2012)02-0408-01 　　肺炎支原体肺炎（MPP）是由肺炎支原体（MP）引起的肺部急性炎症病变。MP感染在小儿中较常见，是儿童急性呼吸道感染的重要病原，此种感染可并发肺外多系统的损害，主要累及消化、心血管、皮肤、黏膜及神经系统等。现对我院2007年1月-2010年12月住院治疗的血清肺炎支原体特异性IgM抗体(MP-IgM)阳性的84例MPP患儿的临床资料进行总结分析，报道如下： 　　1临床资料及方法 　　1.1一般资料：2007年1月-2010年12月住院的支气管肺炎患儿中，血清MP-IgM阳性的患儿84例，均符合MPP的诊断标准。男40例（47.6%），女44例（52.4%）；年龄3岁16例(19％)，3～6岁28例(33.3％)，6～14岁40例(47.6％)。 　　1.2诊断标准：MPP的临床诊断标准:①持续剧烈咳嗽，X线所见较体征显著，胸片可见两肺点网状阴影或斑片状阴影或大片状阴影；②全身症状比胸部体征明显；③白细胞计数