摘要
目的总结小儿肺炎支原体(MP)肺炎的临床特点和诊治效果。方法对2005年8月—2010年8月收治的180例MP肺炎患儿的临床特点、实验室检查、治疗及效果进行总结与分析。结果本组病例的临床表现以发热、刺激性咳嗽为主,肺部体征多不明显,外周血白细胞大多正常,红细胞沉降率及C反应蛋白(CRP)正常或稍升高;X线胸片改变明显,此外尚有血液、肝功能、心肌、肾脏、神经系统等损害。患者均行阿奇霉素治疗,部分患者加用第三代头孢菌素、糖皮质激素,全部临床治愈。结论小儿MP肺炎好发于学龄儿童,小儿MP肺炎临床症状重而体征轻,X线胸片阴影明显是MP肺炎的特点,血清学检测为诊断的主要手段,大环内酯类抗生素是治疗的首选药物。
Objective To summarize the clinical features of infantile mycoplasma pneumoniae（MP） pneumonia and its diagnosis and treatment. Methods The clinical features,laboratory examinations,treatment and outcomes of 180 MP infants admitted from August 2005 to August 2010 were analyzed. Results The main clinical manifestations of patients were fever,irritable cough,most with unobvious lung signs,normal peripheral blood leucocyte,and normal erythrocyte sedimentation rate（ESR） and C-reactive protein（CRP） or a little increased.Chest X-ray films changed remarkably.In addition,damages of blood,liver function,cardiac muscle,kidney and nervous system,etc.were noted.Patients received azithromycin,some received additional third generation cephalosporin,glucocorticoids,and all cured clinically. Conclusion Infantile MP pneumonia,predominantly occurring in the school-age children,has severe clinical symptoms but slight signs.Chest X-ray film having obvious shadow is the characteristics of MP pneumonia.Serological test is the primary means of diagnosis and macrolide antibiotics is the first drug choice.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第9期996-997,共2页
Chinese General Practice
关键词
小儿
肺炎支原体
肺炎
诊断
治疗
Children
Mycoplasma pneumoniae
Pneumonia
Diagnosis
Therapy
