支原体肺炎23例临床分析

Mycoplasma pneumonia 23 example clinical analyses

目的：探讨支原体肺炎的临床特点。方法：对23例支原体肺炎的临床资料进行回顾性分析。结果：支原体肺炎的临床表现主要是发热（91．3％）、伴随咳嗽（78．3％），听诊可闻及呼吸音减低、哆音者仅1／3；所有病例X线发现不同程度的肺部炎症改变；血沉增快者95．7％。用红霉素一阿奇霉素联合治疗，全部治愈。结论：支原体肺炎病程长，临床表现多样，体征及胸部×线缺乏特异性，确诊需行病原学、血清学栓查；大环内酯类抗生素对其疗效肯定。

Objective：Discusses Mycoplasma pneumonia＇s clinical characteristic. Method： Carries on the review analysis to 23 ex- ample Mycoplasma pneumonia＇s clinical material. Results： Mycoplasma pneumonia＇s clinical manifestation is mainly gives off heat （91. 3%）, follows coughs （78.3~）, the auscultation may hear and the respiratory murmur decreases, luo the sound only 1/3; All case X discovery varying degree lungs inflammation change; The erythrocyte sedimentation rate increases quick 95.7 %. With the eryth- romycin -- arch mildew element union treatment, cures completely. Conclusions： The Mycoplasma pneumonia course is long, the clinical manifestation is diverse, the symptom and the chest line lacks the specificity, the diagnosis needs the good etiology, the se- rology inspection; Large ring lactone class antibiotic to its curative effect affirmation.