肺炎支原体感染合并EB病毒感染的临床特征

Clinical Characteristics of Mycoplsama Pneumoiae Infection Complicated with EBV Infection

目的分析肺炎支原体感染合并EB病毒感染临床特点。方法对41名患肺炎支原体感染的患儿进行EBV抗体的检测,将EBV抗体阳性者与阴性者比较其临床特点。结果41例支原体肺炎的患儿EBV抗体有17例阳性,阳性率为41.46%;异形淋巴细胞比例明显高于对照组的水平;平均发热时间和住院时间较对照组明显延长,2个肺叶以上受侵犯的有9例,合并胸腔积液者5例,其他脏器受损的10例,发生率为58.82%,均高于对照组的发生率。结论肺炎支原体感染合并EBV感染的比例较高,可加重肺及肺外脏器损伤。临床上对于肺炎支原体感染,应及时检测EBV抗体明确诊断及采取相应的治疗。

Objective To analyze the clinical characteristics of mycoplsama pneumoiae infection complicated with EBV infection. Methods EBV antibodies were determined by enzyme-linked immunosorbent assay for 41 patients with mycoplsama pneumoiae infection and their difference between the EBV＋ and EBV- were compared. Results 17 cases （41.46%） of all were EBV. Abnormal lymphocytes percent were high than the control. The time of fever,the time of staying hospital,were high than the control. There were 9 cases above 2 lobe of lungs damaged; 5 cases with pleural effusion,10 cases （58.82%） with extrapulmonary complication. Conclusion The rate of mycoplsama pneumoiae infection complicating with EBV infection is high. That can increase the damage of lungs. To mycoplsama pneumoiae infection. We should examine EBV antibodies timely and give the right treatment.