小儿支原体肺炎63例临床治疗观察

Clinical Treatment Observation on 63 Cases of Mycoplasma Pneumoniain Children

目的:探讨小儿支原体肺炎的临床特点及治疗方法。方法:对我院2006年11月—2008年6月收治的63例患儿的支原体肺炎病历资料进行分析。结果:63例小儿支原体肺炎,主要症状有咳嗽、喘息、发热,个别病例呼吸困难,肺部体征呈不同程度的水泡音或喘鸣音,肺外表现也较多见,伴有呕吐的占17%,腹泻的占30%,伴有心肌酶谱增高的占80%。检测血清支原体(MP-IgM)均为阳性,采取阿奇霉素或红霉素治疗取得良好疗效。结论:小儿支原体肺炎与病毒性肺炎有相似之处,喘促明显者对氨茶碱及糖皮质激素反应敏感,血白细胞正常或高于正常。

Objective：On mycoplasma pneumonia in children clinical features and treatment.Methods：From November 2006 to June 2008 treated 63 cases of mycoplasma pneumonia medical data analysis.Results：63 cases of mycoplasma pneumonia in children, the main symptoms are coughing, wheezing, fever, individual cases of dyspnea, pulmonary signs have varying degrees of blisters or wheezing sound audio,a lot of extra-pulmonary manifestations see,accompanied by vomiting accounted for 17% ,diarrhea 30% ,accompanied by increased myocardial enzymes accounted for 80%.Mycoplasma serum （MP-IgM）were positive ,to take of azithromycin or erythromycin treatment achieved good effect.Conclusion：Mycoplasma pneumonia in children with viral pneumonia have similarities,obviously, aminophylline and glucoeortieoid sensitive,white blood cell normal or above normal.