肺炎支原体肺炎38例分析

38 CASES OF PNEUMONIC MYCOPLASMAL PNEUMONIA COMPLICATED BY 1 CASE OF MENINGOENCEPHALITIS

我科于1995年8月1日—1996年1月底共收治住院肺炎病例174例，全部病例均于发病后的4～14天测定血清肺炎支原体抗体而确诊为肺炎支原体肺炎38例（占21．26％），有1例病后第5天血清肺炎支原体抗体呈现阳性，本组病例以8～11岁年龄期儿童患病率高共19例（占50％）并伴发多系统受累，38例中，胸膜反应1例，胸膜炎1例，皮疹4例，呕吐4例，脑膜脑炎1例，谷草转氨酶（AST），谷丙转氨酶（ALT）、肌酸磷酸激酶（CPK），乳酸脱氢酶（LDH）升高共5例，但无脏器衰竭表现，而肺炎支原体所致的脑膜脑炎1例虽有高热，抽搐，昏迷而完全恢复。

174 children with pneumonia were hospitalized in our department from August 1, 1995 to January 31,1996. The antibodies against pneumonic mycoplasma were measured in serum fron all cases 4 to 14 days after onset of the disease. 38 children were diagnosed as pneumonic mycoplasmal pneumonia(accounting for 21.26% ). in which 1 case showed a positive reaction of serum antibody against pneumonic mycoplasma 5 days after occurrence of the disease. The morbidity rate (19 cases, amounting to 50%)was higher in children at the age of 8-11 than other age groups. accompanied by impairment of multiple systems. In 38 cases of pneumounic mycoplasmal pneumonia.there were I case of pleural reaction, 1 pleuritsi, 4 skin rash, 4 vomiting. 1 meningoencephalitis, 5 increased activities of aspartate transaminase (AST), alanine transaminase(ALY ), creatine phospokinase(CPK), and lactic dehydrogenase (LDH): but no organ failure occurred. One case of meningoencephalitis, with high fever, convulsion and coma, caused by pneumonic mycoplasma was completely recovered.