小儿肺炎支原体感染的临床分析

Clinical analysis of Mycoplasma pneumoniae infection in children

目的:探讨小儿肺炎支原体(MP)感染的临床特点及诊断治疗。方法:回顾性分析了286例MP感染患儿的临床特点及诊治过程。结果:286例MP感染中,均有呼吸系统表现,其中支原体肺炎200例(69.9%),肺外感染106例(37.1%),神经系统、心血管系统、泌尿系统、血液系统、消化系统及皮肤、淋巴结均可受累。结论:MP感染临床表现多样,可伴随多系统损害。早期诊断可结合临床表现,确诊依赖于抗MP-IgM的检查。

Aim：To investigate the clinical features of Mycoplasma pneumoniae （MP） infection in children and the diagnosis and therapy. Methods： The clinical aspects and therapeutic process of MP infection in 286 children were reviewed retrospectively. Results： Respiratory illnesses occurred in all of the 286 patients. Among them, 200 patients （69.9%） had MP pneumonia and 106 patients （37.1%） had extrapulmonary infection which extended to nervous system, cardiovascular system, urinary system, hematological system, digestive system, skin and lymph node.Conclusion： MP infection has diverse clinical manifestations accompanied with multiple organ injury. Early diagnosis can be combined with clinical manifestations. Definite diagnosis depends on the immunological detection of the MP - IgM.