儿童重症肺炎支原体肺炎的治疗体会

Experience in treating children with serious mycoplasma pneumoniae pneumonia

目的总结儿童重症肺炎支原体(MP)肺炎的临床特点及治疗体会。方法对我科收治的28例儿童重症MP肺炎的临床表现、辅助检查及治疗、转归进行回顾分析。结果儿童重症MP肺炎主要表现为稽留高热、顽固性咳嗽、肺部体征不明显,胸片表现为双侧或单侧大叶肺实变,可并发胸腔积液及肺外多脏器损害,红霉素、激素以及免疫球蛋白治疗效果好。结论重症MP肺炎病情重,病程迁延,经合理治疗大多可治愈。

[Objective] To sumrize the experince and clinical manifestation of serious mycoplasma pneumoniae（MP）pneumonia in children.[Methods] 28 children with serious MP pneumonia were reviewed for their clinical manifestation,laboratory tests,treatment and restore.[Results] The most clinical manifestations were continued high fever,resist cough,non-marked lung signs,lobar consolidation with large pleural effusion bilaterally and unilaterally in X-ray and complicated with multiple organ function injury.Treatment with erythromycin,dexamethasone and immunoglobin for MP pneumonia is effective.[Conclusions] Children with serious MP pneumonia may have grave conditions and a long treatment period.But most of them can complete recovered.