儿童肺炎支原体感染395例临床分析

Clinical analysis of 395 children with Mycoplasma pneumoniae infection

目的探讨儿童支原体肺炎（MP）的临床特点及治疗方案，提高对肺炎支原体感染的认识。方法采用肺炎支原体快速鉴定培养基方法培养肺炎支原体，并分析阳性患者临床特点及治疗方案。结果在1502例下呼吸道感染的患儿中，肺炎支原体感染395例，感染率26．3％；其中急性支气管肺炎234例，急性支气管炎161例。395例均有咳嗽，103例伴有发热，49例伴有喘息。结论肺炎支原体是儿童下呼吸道感染的重要病原体之一，大环内酯类药物的序贯治疗，可以减少肺炎支原体的反复感染次数。

Objective To explore the clinical characteristic and therapeutic regimen of mycoplasma pneumonia （MP） in children in order to increase the understanding of MP. Methods Mycoplasma pneumonia fast culture reagent was put to culture mycoplasma pneumonia and the clinical characteristic and therapeutic regimen of the positive patients was analyzed. Results Of the 1502 patients with lower respiratory tract infection identified, 395 infected by mycoplasma pneumonia, with 234 acute bronchial pneumonia and 161 acute bronchitis in MP patients respectively, and the infection of mycoplasma pneumonia was 26. 3%. All MP patients had cough, 103 patients accompanied with fever and 49 with pursiness. Conclusion MP is a major cause of child lower respiratory tract infection. There is some evidence that maerolides sequential therapy may reduce the repeated infection times of mycoplasma pneumonia.