70例成人支原体肺炎的临床特点及诊治分析

Analysis of Clinical Features,Diagnosis and Treatment in 70 Cases of Mycoplasma Pneumonia in Adults

目的:观察成人支原体肺炎的临床特点,分析其诊断治疗方法,为临床确诊和治疗方案的选择提供参考。方法:选择我院2008年2月～2010年1月收治的成人支原体肺炎患者70例,对其临床资料进行回顾性分析。确诊患者给予阿奇霉素静脉滴注,病情得到有效控制后给予罗红霉素口服巩固治疗。结果:成人支原体肺炎临床多于春秋二季发病率较高,以咳嗽为首发症状,常伴发热;X线片及CT等影像学检查结果表现多样,无典型特异性;症状出现后7d左右进行血清支原体抗体滴度检测有意义。成人支原体肺炎临床常因首发症状不明显、影像学表现不典型而导致误诊或漏诊。采用阿奇霉素联合罗红霉素治疗后均痊愈出院。结论:对临床疑似病例应及时进行血清支原体抗体滴度检测,确诊为成人支原体肺炎后首选大环内酯类抗生素进行治疗,可以取得较满意的疗效。

Objective： Observe the clinical features of adult mycoplasma pneumonia, analysis the diagnosis and treatment methods. Method： Choose 70 patients of mycoplasma pneumonia in our hospital in Feb. 2008 to Jan. 2010. Retrospectively analyzed the clinical data. Diagnosed patients given azithromyein intravenous infusion and oral roxithromyein consolidation therapy. Results：Adult mycoplasma pneumonia have a higher prevalence in spring and autumn, with cough as the first symptom, often accompanied by fever; X -ray and CT imaging findings were diverse, non - typical specificity; about 7d after the onset of symptoms of serum mycoplasma detection of significant antibody titers. Everybody was cured after using Roxithremycin using azithremycin. Conclusion：The preferred drug was macrolide antibiotics. It can obtain more satisfactory results.