摘要
目的：通过对就诊治疗的0~6岁儿童肺炎的病原学检测结果进行分析,了解呼吸道病原体在0~6岁儿童肺炎中分布情况,探讨呼吸道九联检的临床意义.方法：采集284例临床已确诊为肺炎的0~6岁儿童的血清,用间接免疫荧光法（IFA）测定四种非典型病原体：嗜肺军团1型（Legionella pneumnopila typel,LP1）、肺炎支原体（Mycoplasma pneumonia,MP）、肺炎衣原体（Chlamydia pneumonia,CPn）、Q热立克次体（Richettsia query,QFR）;和五种呼吸道病毒：腺病毒（Adenovirus,ADV）、呼吸道合胞病毒（Respiratory syncytial virus,RSV）、甲型流感病毒（Influenza A virus,IFVA）、乙型流感病毒（Influenza B virus,IFVB）、副流感病毒（Parainfluenza virus,PIVs）;共九种病原体的IgM抗体.结果：284例0~6岁儿童患者中,总的呼吸道病原体阳性率为38.03%,其中阳性率最高的是MP（16.2%）,中等阳性率的病原体RSV（7.04%）、INFB （6.34%）、PIVs（3.52%）、ADV（2.11%）、LP1（1.76%）,阳性率最小的病原体为CPn（0.35%）和QFR（0.00%）.结论：呼吸道九联检可明确引起0~6岁儿童肺炎的病原体,从而为临床用药提供依据.
Objective According to analyze the detective results of the etiology of pneumonia in children aged 0 -6 to learn the distri- bution of respiratory pathogens in pneumonia of children aged 0 - 6 and discuss the clinical significance of the nine kinds tests of respiratory tract. Method 284 pipes of serum of children aged 0 -6 who had been diagnosed as pneumonia, were assayed four kinds of non - typical pathogens Legionella pneumnopila typel（ LP1 ） ,Myeoplasma pneumonia（MP） Chlamydia pneumonia（CPn） Richettsia query（QFR） ] by IFA and five types of respiratory viruses：Adenovirus（ADV） ,Respiratory syncytial virus（RSV） ,Influenza A virus（IFVA） Influenza B virus（IFVB） Parainfluenza virus （PIVs）. And the total number of pathogenic antibodies was nine. Results Generally speaking, among the 284 children, the positive rate was MP（ 16.2% ）. The middle positive rate of etiology are RSV （7.04%） ,INFB （6. 34% ） ~PIVs（ 3. 52% ） ADV2. 11%） and LPI （ 1, 76%） . Moreover, the lowest positive rate of etiology were CPn （0.35%） and QFR （0.00%） o Concision Obviously, the nine kinds of tests of respiratory tract can cause the pneumonia pathogena of children aged 0 - 6 and provide tile evidence of clinical medieaion.
出处
《吉林医学》
CAS
2014年第4期722-724,共3页
Jilin Medical Journal
关键词
儿童肺炎
呼吸道九联检
病原体
临床用药
Pneumonia in children
Nine kinds of tests of respiratory tract
Pathogen
Clinical medication
