肺炎衣原体肺炎的临床分析

Preliminary study on Chlamydia pneumoniae pneumonia

为了解肺炎衣原体（ＴＷＡＲ）肺炎的发生率和临床表现，用微量免疫荧光法检测肺炎和非呼吸道疾病各９３例患者的血清抗ＴＷＡＲ抗体ＩｇＧ和ＩｇＭ。结果显示：肺炎患者中１９．４％（１８例）为ＴＷＡＲ肺炎，除肺部出现干湿罗音的机率低于非ＴＷＡＲ肺炎外（Ｐ＜０．０５），其他临床表现无特异性。本文发现肺癌患者中ＴＷＡＲ肺炎发生率较其他基础肺病者为高。

In order to know the incidence of Chlamydia pneumoniae (strain TWAR) pneumonia and its clinical features, 93 patients with pneumonia and 93 matched patients with nonrespiratory diseases were studied. TWAR antibodies (IgG and IgM) were detected by microimmunofluorescence (MIF) test. The results showed that 19.4% (18 cases) patients with pneumonia were TWAR pneumonia, in which 10 cases accompanied by bacteria infection and 7 cases being simple TWAR pneumonia. There were no significant differences in clinical features between TWAR pneumonia and nonTWAR pneumonia, except dry and moist rales. These data showed that the occurrence percentage of TWAR pneumonia in patients with lung cancer was higher than that in patients with the other respiratory diseases. This study suggests that there are TWAR pneumonia in China.