小儿支原体肺炎并发肺外损害96例临床分析

A Clinical Analysis of 96 Cases of Mycoplasma Pneumoniae Complicated with Extra-pulmonary Organ Damage in Children

目的探讨小儿支原体肺炎并发肺外损害的临床特征。方法采用被动凝集法检测血MP-IgM,对MP-IgM≥1∶40且确诊为肺炎的302例患儿的临床资料进行分析。结果 302例支原体肺炎的患儿中,96例出现肺外损害,发生率为31.8%,可表现为心血管、血液、消化、神经系统及皮肤损害。全部病例经阿奇霉素治疗3-4周后痊愈或好转。结论支原体肺炎除肺部原发感染外,还可造成肺外多器官、多系统损害。

Objective To analyze the clinical features of mycoplasma pneumonia complicated with extra-pulmonary organ damage in children.Methods The particle agglutination test was adopted for detecting mycoplasma pneumoniae antibody in the blood sample of 302 hospitalized pediatric pneumonia patients with MP-IgM≥1∶40.Results Extra-pulmonary injuries were found in 96 pediatric pneumonia patients of all the 302 with a ratio of 31.8%.The clinic symptoms included cardiovascular,blood,alimentary,nervous system and skin lesion.All the patients were cured or improved after 3-4 weeks treatment with Azithromycin.Conclusion Except the original pulmonary infections,mycoplasma pneumonia could still lead to extra-pulmonary multiple-organ dysfunction and damage.