摘要
目的:探讨综合治疗重症支原体肺炎体会。方法将48例重症支原体肺炎患儿随机分为两组,治疗组24例,对照组24例。治疗组在常规治疗基础上,早期应用甲基强的松龙、丙种球蛋白及电子支气管镜灌洗治疗。对照组常规治疗。结果治疗组在治疗疗程上显著短于对照组,且治愈率高、差异显著( P<0.05)。结论支原体直接损伤及感染后免疫反应是重症支原体肺炎感染主要发病机制。采用甲基泼尼松龙、丙种球蛋白、电子支气管镜灌洗治疗可明显提高治愈率,改善患儿预后。
Objective To investigate the comprehensive treatment of severe Mycoplasma pneumoniae pneumonia treatment.Methods:48 cases of severe mycoplasma pneumonia patients were randomly divided into two groups,24 cases in the treatment group,24 cases in the control group.The treatment group on the basis of routine treatment,early use of methylprednisolone and immunoglobulin and electronic bronchoscopic lung lavage combined treatment.The control group received routine treatment.Results:the cure rate of the treatment group was significantly higher than that of the control group,significant dif erence(P<0.05).Conclusion:Mycoplasma direct injury and infection after severe mycoplasma pneumonia infection immune response is the main pathogenesis.Comprehensive treatment with methyl prednisolone and gamma globulin and electronic bronchoscopic lung lavage can significantly appears to provide a high cure rate and improvement in children with severe Mycoplasma pneumoniae pneumonia.
作者
王军
WANG Jun(Shanxi Province Children's Hospital,Department of Respiratory Medicine,Taiyuan,Shanxi,030013,China)
关键词
综合治疗
重症肺炎支原体肺炎
Comprehensive treatment
Severe mycoplasma pneumonia
