摘要
目的:探讨小儿肺炎支原体(MP)感染的支气管哮喘临床特点。方法:对42例MP感染的小儿支气管哮喘临床特点、治疗及转归进行归纳总结。结果:42例MP感染的小儿支气管哮喘患儿Mp-Ab均为阳性,其发病向小年龄患儿发展,临床表现不典型,胸片以条絮状阴影为表现,肺部大片阴影或叶性改变不明显,病程迁延,病程>1个月20例(占47.6%),所有病例青霉素或头孢菌素加正规哮喘治疗方案无效,而改用阿奇霉素治疗后哮喘得以控制。结论:MP感染诱发的哮喘患儿发病临床特征与其他病毒或细菌感染所诱发哮喘临床特征不易区分,病程迁延,区分主要以血清学检查为主。确诊后早期用阿奇霉素治疗。
To investigate clinical characters of children asthma caused by pneumonia mycoplasma infection.Methods：By retrospective study, the clinical characters, treatment and prognosis were analyzed in 42 cases of children asthma caused by pneumonia mycoplasma infection.Results：42 cases had positive Mp-anibody.The morbidity tended to happen in low age children with atypical clinical manifestations.The chest radiograph showed stripped and patchy shadow without obvious sheet shadow or leaf-like change.The course of disease was prolonged and more than one month in 20 cases （47.6%）.The symptom of gasping was effectively controlled by altered treatment with azithromycin in all cases ,while no curative effect was obtained by treatment with penicillin or sporangium.Conclusion： There is no obvious difference in the clinical characters of children asthma induced by Myeoplasma pneumonia infection and virus or bacterial infections. Final diagnosis was majorly based on serological testing. The prolonged course of disease is another major character. It is necessary to treat with azithromycin as soon as possible after final diagnosis.
出处
《现代医药卫生》
2011年第4期524-525,共2页
Journal of Modern Medicine & Health
关键词
肺炎支愿体
哮喘
Pneumonia Myeoplasma
asthma
