| 摘要: |
| ［摘要］ 目的 探讨小儿肺炎支原体肺炎的临床特点及诊治方法。方法 回顾性分析临床确诊的92例小儿肺炎支原体肺炎患儿临床资料。结果 92例患儿中，大部分患儿临床表现持续性、剧烈咳嗽，少部分患儿伴有少量白痰或无痰。行X线胸片检查，单侧病变以右肺云雾状阴影为主，占53.3%。所有患儿ELISA检测血清MP-IgM阳性。患儿肺外合并症主要表现为心肌酶谱增高。经治疗3～7 d 80例、8～10 d 10例患儿体温逐渐趋于平稳，咳嗽症状也得到有效缓解；另外2例患儿在持续11 d高热后，体温趋于下降。随访30 d患儿全部治愈。结论 采用ELISA法检测血清中MP-IgM，联合咽拭子支原体DNA检测对小儿肺炎支原体肺炎早期检测诊断率较高。使用阿奇霉素及红霉素治疗效果较好。 |
| 关键词: 小儿肺炎 支原体肺炎 临床特点 诊治方法 |
| DOI：10.3969/j.issn.1674-3806.2015.08.19 |
| 分类号:R 725.6 |
| 基金项目: |
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| Analysis of the clinical diagnosis and treatment of 92 cases of children with mycoplasma pneumoniae pneumonia |
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LI De-shao
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Department of Pediatrics, Maternal and Child Health Hospital of Liucheng County, Liuzhou City, Guangxi 545200, China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical characteristics of diagnosis and treatment for the children with mycoplasma pneumoniae pneumonia.Methods The clinical data of 92 children with mycoplasma pneumonia and clinically diagnosed pathogenesis were analyzed retrospectively.Results The majority of 92 children had clinical manifestations of persistent and severe cough, and a few children were accompanied with a small amount of white sputum or phlegm. When conducting chest X-ray examination, unilateral lesions were mainly cloudy sign and shadow in the right lung, accounting for 53.3%. The main clinical manifestations of the children with pulmonary complications were the elevated myocardial enzyme spectrum. The body temperature was normal in 80 cases, after 3～7 days′ treatment, and was normal in 10 cases after the treatment of 8～10 days, with the cough symptoms being alleviated effectively. The temperature cases turned to be normal in other 2 after high fever lasting for 11 days. All children recoveried completely after a follow-up of 30 d.Conclusion Mycoplasma DNA detection has a higher diagnostic rate of early detection on children with mycoplasma pneumoniae pneumonia. Azithromycin and erythromycin are effective for the treatment. |
| Key words: Children with pneumonia Mycoplasma pneumonia Clinical features Diagnosis and treatment |
