成人支原体肺炎并发心肌损害的临床特征分析

Clinical analysis of adult patients with Mycoplasma pneumoniae and the myocardial damage

目的:总结分析成人支原体肺炎并发心肌损害的临床特征,提高诊断及治疗水平。方法:回顾性分析我院2004年1月-2008年10月诊治的58例成人支原体肺炎患者的临床资料,以及其中并发心肌损害的12例患者的临床特征。结果:58例成人支原体肺炎患者中并发心肌损害12例,占成人支原体肺炎感染患者总数的20.69%,临床表现均无特异性,而肺炎支原体检查IgM均阳性。并发心肌损害者的心电图及B超出现异常。所有患者均用阿奇霉素治疗均获痊愈或缓解。结论:成人支原体肺炎发生率逐年升高,其心肌损害发生率较高,后果较重,临床上需提高成人支原体肺炎的认识,预防发生心肌损害等肺外并发症。

Objective：Analyzing the clinical characteristic of adult patients with Mycoplasma pneumoniae and the myocardial damage, to improve the diagnosis and treatment of adult patients with Mycoplasma pneumoniae. Method ： Restrospectively analyzing the data of 58 adult patients with Mycoplasma pneumonia,of which hadl2 cases with myocardial damage from 2004 Jan to 2008 Oct. Result： There are 58 adult patients with Mycoplasma pneumoniae cases, 12 myocardial damage cases, the complication rate of adult patients with Mycoplasma pneumoniae is 20.69%. Clinical manifestation has no specificity, but the Mycoplasma pneumonia IgM is positive. Only the 12 cases with myocardial damage display abnormal electrocardiogram and type-B ultrasonic. All the people were cured or relieved by azithromycin. Conclusion ： The incidence of adult patients with Mycoplasma pneumoniae raised up every year,and the rate of the complication of myo cardial damage is also high,consequence is severity, we should improve the cognition of adult patients with Mycoplasma pneumoniae,to prevent the occurrence of exral-pulmonary complications like myocardial damage.