摘要
目的:研究小儿支原体肺炎的临床特点,提高诊断与治疗水平。方法:回顾性分析我院儿科56例支原体肺炎患儿的临床资料,分析患儿的临床特点,总结诊治经验。结果:①0~3岁患儿20例,占全部患儿的35.7%。②婴幼儿肺部体征明显,常伴有喘息,呼吸困难;年长儿肺部体征轻,X线胸片阴影明显;部分患儿合并胸腔积液,肺不张。③有肺外合并症22例(39.1%),心血管、泌尿、消化、血液、神经系统均可受累。④应用阿奇霉素有效。结论:小儿支原体肺炎多见于较大儿童,但婴幼儿感染不容忽视,各年龄段患儿临床症状侧重各不相同,并可累及肺外多系统多器官损害。年长儿应警惕合并胸腔积液、肺不张。临床应用大环内酯类抗生素治疗效果好。
Objective: To study the clinical characteristics of pediatric mycoplasma pneumonia to improve the diagnosis and treatment.Methods: Retrospective analysis of the clinical data of mycoplasma pneumonia patients of 56 cases,to analyze clinical features and summarize the experience of diagnosis and treatment.Results: ①20 patients were 0-3 years old,accounting for 35.7%.②The pulmonary symptoms of infant were obvious,with gasp and dyspnoea;the pulmonary symptoms of older patients were not obvious,but their chest shadow was vague by X ray exam;the pulmonary complications of a few patients were pleural effusion and pulmonary atelectasis.③22 cases had extra pulmonary complications(39.1%);cardiovascular,urinary,digestive,circulatory,nervous system might be injured.④Azithromycin could achieve good efficacy.Conclusion: Mycoplasma pneumonia is usual in older children,but the infection of infants should not be ignored too,patients of all ages focus on different clinical symptoms,and involve extra pulmonary multi-system involvement and multiple organs to damage them.Older children should be alert to pleural effusion and pulmonary atelectasis.Macrolide antibiotic can achieve good efficacy.
出处
《中国医药导报》
CAS
2011年第13期167-168,共2页
China Medical Herald
关键词
小儿
支原体肺炎
临床分析
Pediatric
Mycoplasma pneumonia
Clinical analysis