小儿肺炎支原体肺炎(MPP)132例临床分析

The clinical analysis of 132 Children's MPP cases

目的:探讨小儿肺炎支原体肺炎(Mycoplasmal Pneumoniae Pneumonia,简称MPP)临床特点、血清学检测及诊疗措施,并评价其疗效。方法:总结132例MPP患儿临床资料,包括临床特征、X线检查、血清学检测以及治疗和转归。结果:小儿MPP冬春季发病率最高(占60%)且以学龄儿童多见。临床表现为发热、咳嗽、气促。肺外并发症较多。结论:考虑为MPP的患儿,MP-IgM检测灵敏性和特异性较高,对本病的早期诊断有重要价值;X线胸片对本病的诊断和治疗也有重要的临床意义。阿奇霉素等大环内酯类抗生素对MPP有特效。

Objective：Exploring clinical features,serological testing and treatment measures of MPP,and evaluating its efficacy.Methods：Collecting clinical data of 132MPP child patients,including clinical features,X-ray examination,serologic testing,treatment and prognosis.Results：For children,the highest MPP incidence is in winter and spring（60%）and more common for school-age children.Clinical manifestations were fever,cough.More pulmonary complications will also occur.Conclusions：For the diagnosis of children with MPP,MP-IgM detection sensitivity and higher specificity is important for early diagnosis of this disease;X-ray diagnosis of the disease and treatment also carries very important clinical significance.Azithromycin and other Macrolides Antibiotics,too,have powerful effects on MPP.