378例儿童支原体肺炎的临床特点及纤维支气管镜治疗

Clinical features and bronchoscopy treatment for 378 patients of mycoplasma pneumoniae pneumonia in children

目的探讨儿童支原体肺炎的临床特点,提高临床早期诊断及治疗水平。方法对该院2013年1月至2014年12月收治的378例支原体肺炎患儿的临床资料进行回顾性分析。结果 378例儿童支原体肺炎以学龄前期所占比例最高,占普通组39.66%和重症组51.06%,明显高于其他年龄组;重症患儿中学龄前组比率达到51.06%,提示学龄前组可能是重症支原体肺炎的危险因素。重症组病例高热、肺内并发症及肝功能损害明显的比率高于普通病例。纤维支气管镜治疗的应用明显缩短临床治疗时间。结论儿童支原体肺炎的重症比率有增高趋势,重视早期诊断及积极使用纤维支气管镜等治疗可减少后遗症的发生。

Objective The clinical features of refractory mycoplasma pneumoniae pneumonia（RMPP） and mycoplasma pneu- moniae pneumonia（MPP） were comparatively studied, which is expected to improve differential diagnosis and treatment. Methods Three hundred and seventy eight children with MPP were adopted in our hospital between January 2013 and December 2014, the clinical data were retrospectively analyzed. Results Preschool age children accounted for the highest proportion of all the MPP pa- tients, which is 39.66% of all patients with MPP and 51.06 % of all patients with RMPP. This result suggests that preschool age could be a risk factor of RMPP. Compared to MPP patients, the patient＇s condition with RMPP were more serious,i, e. ,longer hy- perpyrexia time, generally with pulmonary complications and hepatic function damage. Conclusion Mycoplasma pneumonia in children with severe ratio tended to increase,emphasis on early diagnosis and aggressive use of bronchoscopy and other treatment can reduce the incidence of complications.