婴幼儿支原体肺炎感染60例分析

An analysis of 60 cases about infantile mycoplasma pneumonia

目的:分析婴幼儿支原体肺炎的临床特点,提高诊断及治疗水平。方法:对60例婴幼儿支原体肺炎感染进行回顾性分析。结果:婴幼儿肺炎支原体肺炎所有病例均有咳嗽,发热46例,14.1%病例有并发症,有48例MP-IgM抗体滴度>1:80,有42例X线胸片有明显改变。结论:婴幼儿肺炎支原体肺炎的诊断最好结合患儿的临床表现及X线胸片,另外通过检测肺炎支原体抗体IgM对诊断有较大帮助,特别采用红霉素、阿奇霉素序贯治疗,效果较为显著,总疗程4～6周。

Objective： To analyze infant clinical characteristics of mycoplasma pneumonia, improve diagnosis and treatment level. Methods： Analyzed sixty cases of infantile mycoplasma pneumonia retrospectively. Results： Mycoplasma pneumoniae pneumonia in infants and young children all the patients had cough, fever was 46 cases, 14.1% of cases with complications, 48 cases MP-IgM antibody titers〉1：80, there were 42 cases of X-ray changed significantly. Conclusion： Infant diagnosis of mycoplasma pneumonia in children with the best combination of clinical and X-ray, the other by detecting mycoplasma pneumoniae IgM antibodies in the diagnosis of great help, especially the use of erythromycin, azithromycin sequential therapy, the effect is more significantly, the total course of 4 to 6 weeks.