小儿肺炎支原体肺炎117例临床分析

Clinical Analysis of 117 Cases of Mycoplasma Pneumonia in Children

目的探讨小儿肺炎支原体肺炎的临床表现及诊断与治疗效果,以进一步提高对肺炎支原体感染的认识。方法回顾性分析本院儿科2009年1月~2009年12月收治的117例小儿肺炎支原体感染的临床资料、治疗及转归。结果小儿肺炎支原体感染发病有增加趋势,以学龄前及学龄期儿童多见,临床表现为发热、咳嗽、喘憋,并伴有肺外症状,早期无明显阳性体征,血清MP-IgM检测均为阳性,胸部X线检查均有不同程度改变,大环内酯类药物治疗有效,治愈率高。结论肺炎支原体感染发病率在增高,临床表现除呼吸道症状外,并发症较多,血清学检测肺炎支原体抗体为主要诊断手段,大环内酯类抗生素是儿童适用的安全有效的治疗药物。

Objective To discuss clinical manifestation,diagnosis and therapy effect of children＇s mycoplasmal pneumonia,so we can understand it more.Methods Review 117 cases during January and December in 2009,all of the patients were our hospital.we analysed all of the date、treatment and final results.Results Morbidity of children＇s mycoplasmal pneumonia have the tendency of increasing.And it infects major before school aged and school aged children.It have fever,cough,short of breath and others.In the early stage,there are few symptom.positive MP-IgM and X-ray has different changes.Mycoplasmal pneumonia is sensitive of macrolides antibiotics.Conclusion Morbidity of children＇s mycoplasmal pneumonia is increasing.Clinical manifestation and complication are much more.Diagnosing of children＇s mycoplasmal pneumonia is principally rely on blood serum antibody,macrolides antibiotics are safe and effective medicines in treating children＇s mycoplasmal pneumonia.