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儿童难治性肺炎支原体肺炎诊治进展 被引量:38

Progress in diagnosis and treatment of pediatric refractory mycoplasma pneumoniae pneumonia
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摘要 难治性肺炎支原体肺炎(refractory mycoplasma pneumoniae pneumonia,RMPP)是严重影响儿童身心健康和预后的儿童社区获得性肺炎的一种常见类型,目前尚无统一的诊断标准。临床表现为规律应用大环内酯类药物7 d后仍有发热、咳嗽等临床症状,肺部影像学呈进行性加重。由于缺乏特异性诊断标准,部分RMPP患儿治疗不及时,最终遗留肺部后遗症,严重影响生活质量。近年来关于RMPP的相关研究不断涌现,该文旨在对RMPP的实验室诊断、发病机制、临床特征及治疗进行综述。 Refractory mycoplasma pneumoniae pneumonia(RMPP)is a common type of community-acquired pneumonia in children which seriously influence children′s physical and mental health.There is no uniform diagnostic criteria.The clinical manifestations were fever,cough and other clinical symptoms 7 days after regular application of macrolides.Lung imaging showed progressive exaceration.Some patients are not treated timely because of lack of specific diagnostic criteria and left pulmonary sequelae eventually,which affect the quality of life seriously.Related researches of RMPP are emerging in recent years.This paper reviews the laboratory diagnosis,pathogenesis,clinical features and treatment of RMPP.
作者 席少婷(综述) 蔡栩栩(审校) Xi Shaoting;Cai Xuxu(Department of Pediatric Respiratory Medicine,Shengjing Hospital of China Medical University,Shenyang 110004,China)
出处 《国际儿科学杂志》 2020年第6期384-388,共5页 International Journal of Pediatrics
基金 辽宁省高等学校创新团队支持计划。
关键词 儿童 肺炎支原体 难治性肺炎支原体肺炎 Children Mycoplasma pneumoniae Refractory mycoplasma pneumoniae pneumonia
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