3月龄以下小婴儿沙眼衣原体肺炎64例临床分析

The Clinical Analysis of Chlamydia Trachomatis Pneumonia of Little Infant

目的通过对3月龄以下小婴儿沙眼衣原体肺炎临床分析,提高对该病的认识,减少误治和过治。方法对2003年1月～2005年1月我科收治3月龄以下血清衣原体抗体IgM阳性肺炎患儿进行回顾性分析,探讨小婴儿衣原体肺炎的临床特点。结果该组患儿围生期衣原体感染史不明确;平均发病日龄在32.77±19.03天;以冬春季多发。临床以特征性咳嗽为主要表现,少数伴有发热、喘憋,肺部可有细湿啰音或无体征?喜⒑粑啦《靖腥静⒉谎映ぷ≡菏奔洹M庵苎紫赴咴颊?43.8%,中性粒升高不到20%,CRP少数升高,X线胸片以双肺受累为主。阿奇霉素在缓解咳嗽和减少肺部啰音方面优于头孢类抗生素,早期应用大环内酯类抗生素可明显缓解症状和体征并缩短住院时间。结论小婴儿单纯衣原体感染肺炎临床症状轻,一般不会造成脏器功能受损、衰竭甚至威胁生命。正确认识该病临床过程有助于对复杂临床情况进行准确的判断分析。

Objective For decreasing the mistreatment and the excess treatment of Chlamydia trachomatis pneumonia, this article analyze Chlamydia trachomatis pneumonia clinic features in the infant. Methods Making review analysis to the clinic data of 64 infant age of 0 to 3 months old suffering from Chlamydia trachomatis pneumonia. Results The infection history of these babies is not identify in their perinatal period. The average age when they were ill is 32.77 - 19.03d ; It happened more frequently in spring and winter. The patient＇ s condition is gently with cough as their feature, following fever, gasping, fine crackles, or none of those. It does not prolong the course of disease by following the air tube virtue infection. The increase of the Blood white cell is 43.8% and that of the neutrophile is less than 20%. The level of Few CRP increase. The abnormal of the baenosome X - ray is on both sides. It can relieve symptom and physical sign, and shorten the time in hospital for using the macrolide medicine, and it surpass the cephalosporin. Conelusions The Chlamydia trachomatis infection does not result in the damage of the organ, even if jeopardizing the life. It is helpful to recognize the clinical course correctly for the analysis of the complicated clinical condition exactly.