小儿支原体肺炎肺外损害26例临床探讨

Clinical Discussion on 26 Children Cases with Mycoplasma Pneumonia Combined Lung Damage

目的:探讨以肺外表现为首发症状的支原体肺炎肺外损害的诊断和治疗。方法:分析26例病例,凡疑似为支原体感染的患者常规进行颗粒凝集法检测血清肺炎支原体抗体及胸部X线检查,对确诊为支原体感染肺外损害26例住院患者,单用阿奇霉素8mg/(kg.d)～10mg/(kg.d)静脉点滴5d～7d,停药4d,改为口服阿奇霉素8mg/(kg.d)～10mg/(kg.d),服3d停4d,连续4个～6个疗程。结果:26例患者临床治愈。结论:临床凡疑似病原体为支原体者,在门诊早期常规检测血清MP-IgM阳性率高,有利于早期诊断早期应用大环内酯类抗生素规范治疗,可有效减少反复发作的慢性病例及肺外损害。

Objective The discussion of the diagnosis and treatment on the performance of the lung, as the first symptom of mycoplasma pneumonia,lung damage. Methods By analyzing the 26 cases of those patients who are suspected of having mycoplasma infection, after having the conventional particle agglutination of serum antibody Mycoplasma pneumonia and chest X- ray, and diagnosed as mycoplasma infection of the lung damage, using azithromycin 8 mg/（ kg · d） - 10 mg/（ kg · d） infusion 5 days -7 days,then having four days＇ break without using it ,and instead,using oral azithromycin 8 mg/（ kg · d） - 10 mg/ （ kg · d） for three days with four days＇ break,thus keeping having 4 - 6 treatments,they can be cured. Results All the 26 cases of patients covered. Conclusion All of suspected pathogens for Mycoplasma, in the conventional clinic early detection of serum MP-IgM positive rate is high and is conducive to the early diagnosis and early application of norms of macrolide antibiotics, can be effective in reducing recurrent cases of chronic lung of damage.