肺炎支原体肺炎124例临床分析

Clinical and X-ray Radiograph Character of Mycoplasma Pneumonia:a Report of 124 Cases

目的探讨肺炎支原体肺炎临床及X线特点。方法采用日本富士明胶颗粒法测定血清抗肺炎支原体抗体IgM及胸部X线摄片。结果支原体肺炎124例,临床表现主要有发热(46.3%),咳嗽(100%),肺部体征少,胸片表现多种多样,包括:肺门阴影增大,间质浸润,支气管肺炎及叶/段实变。红霉素为治疗首选药物,有肺外合并症者加用糖皮质激素治疗有效。结论支原体肺炎咳嗽症状多,肺部体征少,胸片表现多种多样,肺炎支原体慢性感染及感染后免疫反应参与发病机理。

Objective To investigate the clinical and X- ray radiograph characters of mycoplasma pneumonia, Methods Serum anti mycoplasmae pneumonia IgM and plain X ray of the chest was examined in 124 cases with mycoplasma pneumonia, Results The clinical features were mainly characterized by fever （46.3%） and cough （100%）. The physical signs of lungs were less. X ray radiograph had diversified show, including hilus enlargement, interstitial pneumonia, brouchopneumonia and lobar or segmental consolidation. Erythmmycin was the drug of choice in treatment of the disease. Glucocorticoids were added in the patients with extra - pulmonary complications. Conclusions Cough is the symptom most commonly seen in mycoplasma pneumonia with only few physical signs, The chronic infection of mycoplasmae pneumonia and its post - infection immunoreaetion play an important role in pathogenesis of the disease,