毛细支气管炎与肺炎支原体感染的临床分析

Clinical analysis of features of bronchiolitis and infection of mycoplasmas pneumoniae.

目的探讨毛细支气管炎与肺炎支原体(Mp)感染的临床特点。方法对88例毛细支气炎患儿静脉采血,用ELISA方法进行血清检测Mp抗体,MpIgM抗体阳性为感染组,Mp抗体阴性为对照组,两组临床特点进行分析比较。结果两组均有咳嗽、喘憋、发热伴呼吸困难,但感染组肺部片状阴影及肺外表现显著多于对照组。结论肺炎支原体感染引起的毛细支气管炎病程长,肺外表现多,肺部X线多伴有片状阴影,大环内酯类药物正规治疗有效。

Objective To investigate the clinical features of bronchiolitis and infection of mycoplasmas pneumonlae（Mp）. Methods Using ELISA detected the Mp-lgM of blood which selected from vein of 88 bronchiolitis patients. The patients with Mp-lgM positive were included in the infection group, the other were in the contrast group. The clinical features were compared between the two groups. Results Both groups had symptoms of cough, wheezy, fever ,and dyspnea, but partial shadow in the lung and other clinical manifestations outside lung were more discoverel in Mp positive group than that in Mp negative groups. Couelusion It is noted that bronchiolitis caused by Mp infection has a long disease period and there are plenty of symptoms in the areas other than lung. In pulmonary, the manifestations included scattered areas of consolidation shown in chest radigraphs, Macolides medicine is effective.