儿童大叶性肺炎支原体性肺炎126例临床分析

Clinical Study of Lobar Pneumonia Mycoplasma Pneumonia of Child(126 cases)

目的探讨儿童大叶性肺炎支原体性肺炎的临床特点。方法对126例大叶性肺炎支原体性肺炎病例进行回顾性分析。结果126例大叶性肺炎支原体性肺炎的临床特点表现为:婴幼儿发病有增加的趋势,临床症状重,病程长,体征不典型,可并发多脏器损害及遗留永久性肺不张。结论临床遇高热不退,肺部听诊不典型的患儿,胸部X线透视可早期发现重要的炎性改变。以大叶性肺炎为主要改变者应警惕肺炎支原体感染的可能,必要时可早期应用大环内酯类药物。

Objective To investigate the clinical characters of lobar pneumonia mycoplasma pneumonia of child. Methods The clinical dada of 126 lobar pneumonia patients that were diagnosed and treated from Ocotober 2003 to Ocotober 2005 were analysed. Results The clinical characters of 126 lobar pneumonia mycoplasma pneumonia are obviously different from those of before：the incidence of infants is increasing, the clinical symptom is heavier, the course is longer, the physical sign may be not typical, even erupt multiple organ impairment and leave permanent pulmonary atelectasis. Conclusion Significant inflammatory change can be found through X fluoroscopy of chest on infants whose temperature is continually high and auscultation of lungs is not typical. If the main change is lobar pneumonia, we should watch out the possibility of mycoplasma infection. When necessary apply macrolides at early stage.