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肺炎支原体感染伴心肌受累(附46例分析)

Pneumonia Mycoplasma Infection with Heart Involved-46 Cases Report
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摘要 近年来国内外陆续有对肺炎支原体 (MP)肺外脏器受累和心脏受累的报道 ,为了进一步研究证实我地区该病的心脏受累情况及发生率。方法 :对 30 7例门诊及住院确诊为MP感染的患儿进行临床、心电图、胸部X线检查 ,并记录有关症状和体征 ,必要时测心肌酶谱 ,对发现有心脏受累者除按MP感染治疗外尚给予心脏支持疗法 ,并定期随访。结果 :有心脏受累者 46例、占 1 4 9% ,平均年龄 9 8±S1 72a。结论 :本文心脏受累者占MP感染的发生率较文献报道 (4 9% )明显为高 ,可能与多数患儿发病年龄较大存在再感染有关。我们认为凡MP感染的患儿应把心电图检查做为常规检查项目。 Objective:To study further about the heart involved during the pneumonia mycoplasma infection and their incidence.Methods:307 cases who were diagnosed as MP infection children hospitalized and at OPD were observed in clinical manifestations,ECG,chest X-ray and myocardium enzyme if necessary.They were treated in heart aspects when their heart were involved and were followed up regularly.Results:The heart involved patients were 46 cases (14.9%) and their mean age 9.8±s1.72.Conclusion:The incidence of heart involved patients in this paper was higher that other documents(4.9%) and it might be related with the re-infection and their elderly age.ECG should be a routine detective item in patients who suffer from MP infection.
机构地区 黑龙江省医院
出处 《黑龙江医学》 2000年第3期6-7,共2页 Heilongjiang Medical Journal
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  • 1阮大宝,李玉杰,田迎春.小儿支原体肺炎的肺外并发症及其发生机理的探讨[J].实用儿科杂志,1989,4(6):307-309. 被引量:34
  • 2关景林.支气管喘息与肺炎支原体感染[J]国外医学(儿科学分册),1986(01).
  • 3Prof. Dr. W. Bredt,Dr. J. Feldner,Dipl.-Biol. B. Klaus. Adherence of mycoplasmas: Phenomena and possible role in the pathogenesis of disease[J] 1982,Infection(3):199~202

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