成人肺炎支原体肺炎173例临床分析

Clinical Analysis of 173 Patients with Adult Mycoplasmal Pneumonia

目的分析成人肺炎支原体肺炎的临床特点,探讨治疗策略。方法综合分析173例成人肺炎支原体肺炎的临床资料。结果80.9%病人年龄<40岁,男∶女为0.89∶1;96.5%病人有发热,其中高热(T>39℃)占42.8%;85.0%病人有咳嗽,49.1%病人有咳痰,仅69.4%病人肺内可闻及干、湿性口罗音;肺外并发症总发生率18.6%,未发现严重肺外并发症;胸部影像学表现示81.5%病人有肺内病变,其中54.3%为斑片状影;予以大环内酯类抗生素治疗,全部治愈。结论成人肺炎支原体肺炎主要见于青壮年,老年病人较少,无性别差异;临床症状重于肺部体征,有影像-体征分离现象,且严重并发症及重症病人少;大环内酯类抗生素疗效明显。

Objective To analyze the clinical characteristics of adult Mycoplasmal pneumonia and investigate its method of theraphy. Methods The clinical data of 173 patients with adult Mycoplasmal pnetmonia were analyzed comprehensively. Results 80.9% of the patients were less than 40 years old, and the ratio of male patients to female was 0.89： 1. 96.5% of the patients had fever, and 42.8 % of which had high fever（T〉 39℃ ）. 85.0% and 49.1% of the patients had cough and expectoration respectively. 69.4% of the patients had rhonchi and/or rales in the hmg and 18.6% of the patients had extra-pulmonary complications, but no patient had serious complications. 81.5 % of the patients showed pulmonary lesion in the chest X-ray film,54.3% of which showed patchy and spotted shadow. All the patients were cured by erythromycin or azithromytin. Conclusion The adult Mycoplasmal pneumonia occurs mainly in young and middle-aged people but less in elder people. There is no gender difference in incidence. The adult Mycoplasmal pneumonia has obvious symptoms but obscure signs, and no serious complications. The rcacrohdes antibiotics are effective for adult Mycoplasmal pneumonia.