肺炎支原体肺炎80例临床分析

Clinical characterristics of 80 inpatients diagnosed with MP pneumonia

目的:探讨儿童肺炎支原体肺炎的临床特点和治疗,提高对肺炎支原体肺炎的临床认识和诊治水平。方法:对本院2007年1月～2009年12月收治的80例肺炎支原体患儿的临床资料进行回顾性分析。结果:持续发热伴刺激性咳嗽的患儿占100%,Mp-IgM全部阳性;血沉升高占82.5%,C反应蛋白升高占90%;胸片表现多种多样,无特异性;68.75%有肺外并发症。大环内脂类药物平均疗程为10.4d。结论:肺炎支原体肺炎无特异性临床症状和体征,一旦明确诊断,应尽早给予大环内脂类药物治疗,采用抗生素序贯疗法,疗程要够。

Objective：To study the clinical features of mycoplasma pneumoniae in children,thus to improve the clinical understanding towards MP pneumonia.Methods：80 patients with MP were collected from January 2007 to December 2009,and analyzed the clinical materials.Results：All patients（100%） showed continuous fever accompanied by irritating cough.Mp-IgM were all positive.Erythrocyte sedimentation rate（ESR）（82.5%） and CRP（90%） were both accelerated.Lung X-ray showed various.68.75% had complacations outside lungs,the patients were treated with macrolide for 10.4 days.Conclusion：There are diffrent symptoms in children with MP pneumonia,if an earlier diagnosis can be made and treatment with macrolides can be given earlier.Sequential therapy is more effective.