小儿肺炎支原体感染49例临床分析

The clinical analysis of 49 cases with Mycoplasma pneumoniae infection

目的探讨小儿肺炎支原体感染的临床特点和治疗方法。方法对49例小儿肺炎支原体感染患者的临床资料进行回顾性分析。结果49例患儿诊断为急性上呼吸道感染13例（26．5％），急性支气管炎21例（42．9％），支气管肺炎15例（30．6％）。阿奇霉素单独治疗组24例痊愈22例，2例好转，治愈率为91．7％；红霉素滴注＋阿奇霉素口服序贯治疗组25例痊愈21例，好转4例，治愈率为84％。两组相比较，P〉0．05，差异无统计学意义。全部病例在我院平均治疗13．8d，随访期间无复发。结论小儿肺炎支原体感染临床表现差异大，应进行早期诊断和治疗。阿奇霉素治疗效果好，疗程短，可作为治疗小儿肺炎支原体感染的首选药物。

Objective To study the Mycoplasma pneumoniae infection in the clinical characteristics and treatment methods. Methods From June 2008 to December 2009,49 cases of Mycoplasma pneumoniae infection in patients with clinical data were retrospectively analyzed and summarized. Results 49 cases of children were diag- nosed with acute upper respiratory tract infection in 13 cases（26.5% ） ,acute bronchitis 21 cases（42.9% ） ,bronchial pneumonia,15 cases（30.6% ）. Azithromycin alone treatment group,24 cases cured 22 cases,2 cases improved,the cure rate of 91.7% ; erythromycin and azithromycin infusion ＋ oral sequential treatment group ,25 cases recovered ,21 cases improved ,4 cases ,the cure rate was 84%. Compared with the two groups ,difference was not statistically significant （P 〉 0.05）. All patients were treated in our hospital with average of 13.8d, follow-up period without recurrence. Conclusion Mycoplasma pneumoniae infection in large differences in clinical manifestations, early diagnosis and treatment should be carried out. Azithromycin in the treatment effect was good, a short course of treatment could be used as treatment of Mycoplasma pneumoniae infection.