小儿支原体肺炎55例临床诊治体会

Clinical diagnosis and Treatment realize on 55 example of Young child mycoplasma pneum

目的:探讨小儿支原体肺炎临床表现及X线胸片特点,总结诊断与治疗经验。方法:采用回顾性研究方法对55例小儿肺炎支原体肺炎病例进行临床分析。结果:10个月～1岁发病例数占1.8%;1～3岁发病例数占34.5%;4～7岁发病例数占41.8%;8～13岁发病例数占21.9%。对55例X线表现进行分析并做动态观察,其肺部体征轻微,与正常X线胸部阴影显著表现不符。血清MP-IgM检测均阳性。结论:小儿支原体肺炎好发于学龄儿,胸部X线表现多样,且出现较早,故小儿胸片能较早发现病灶,若能同时结合实验室检查,将大大提高本病的检出率,红霉素、阿奇霉素等大环类酯类药物序贯治疗,临床效果明显。

Objective：To discuss the young child mycoplasma pneumonia on the clinical manifestation and X-axis of the chest,the diagnosis and treatment of summing up experience.Methods：Used the reiew research technique to carry on the clinical analysis to 55 example young child pneumonia mycoplasma. Results：10 months～1 years old accounted for 1.8%;1 year old ～3 years old accounted for 34.5%;4 years old ～7 years old accounted for 41.8%;8 years old ～13 years old accounted for 21.9%. To 55 example,X line performance analysis and observations, the lung is slightly, with the positive signs X line with normal shadow does remarkable performance in the chest. Examination of blood serum pneumonia mycoplasma immune body IgM completely is positie. Conclusion：Young child mycoplasma pneumonia began in the school-age child, chest and performance in X line are variety and appear earlier, the child X-axis of the chest was found to be early, if you can combine lesions laboratory to check that will greatly improve the detection rate of this disease azithromycin and macrolide-like antibiotics erythromycin. Use the erythromycin, the mildew sequential treatment,result is usually remarkable.