小儿呼吸道肺炎支原体感染77例临床特征分析

Pediatric respiratory mycoplasma pneumoniae infection 77 cases clinical characteristics analysis

目的:探讨小儿呼吸道肺炎支原体(MP)感染的临床特征及治疗效果,提高对其的临床认识和诊治水平。方法:对我院2010年1月～2010年6儿科病房及儿科门诊确诊为MP感染的77例患儿的资料进行回顾性分析。结果:本组患儿以6个月～3岁儿童为多见,占53.2%;临床表现多样化,以刺激性咳嗽、发热、病程较长为主要特征。68.8%的患儿肺部闻及湿罗音,5.2%的患儿出现心血管系统异常;本组病例经MP-IgM检测,滴度均>1∶80;治疗以大环内酯药物为主,辅以对症治疗,预后均良好。结论:MP是小儿呼吸道感染常见的病原体,由于MP感染临床特征及胸部X线表现缺乏特异性,且易有肺外脏器损害,对一般治疗无效的及肺外脏器病变的患儿,应警惕MP感染的可能,尽早进行MP-IgM特异性检测,以免误诊,及早针对病因治疗。

Objective：To investigate the treatment for pediatric respiratory mycoplasma pneumoniae （MP）infection clinical characteristics and treatment effect and improve their clinical understanding and treatment level. Methods：The clinical data from January 2010 to June 2010 pediatric ward and pediatric clinic diagnosis of MP infected 77 cases were retrospectively analyzed. Results：Among children in six months to 3 years old children which is being seen, accounted for 53.2%;Clinical manifestations, diversification, with an irritating cough, fever, a long course of diseases as the main feature. 68.8% of children and lungs detect rales, wet smell of 5.2% of children of the cardiovascular system anomaly appeared; The MP-all the cases, drop degrees are testing the IgM 1∶80; Treatment with big rings fat is given priority to, complementary with symptomatic treatment drug, prognosis is good. Conclusion：MP is children respiratory infections common pathogens, due to MP infection clinical features and chest X-ray lack of specificity, performance and easy lung damage to the organs, the typical treatment invalid and pulmonary viscera lesions of children,should be vigilant infection may be as early as possible, the MP for MP-specific detection,in order to avoid misdiagnosis IgM, early aimed at pathogeny cure.