小儿肺炎支原体肺炎60例临床分析

Clinical analysis of 60 cases of mycoplasmal pneumonia in children

目的探讨小儿肺炎支原体肺炎的临床特点及诊治方法。方法对60例确诊为小儿肺炎支原体肺炎患儿的临床资料进行回顾性分析和总结。结果发病年龄多为学龄儿童，临床表现以不规则发热、刺激性咳嗽为主，肺部可无明显阳性体征，除肺部病变外还可引起多种肺外合并症，应用阿奇霉素治疗均治愈。结论小儿肺炎支原体肺炎临床症状可较重而体征轻微，可发生肺外多个器官系统受损，阿奇霉素治疗可做为首选疗法。

Objective To investigate the characteristics and diagnosis and treatment of myeoplasmal pneumonia in children. Methods A retrospective study was undertaken to analyze the clinical characteristics of 60 cases of mycoplasma pneumonia in children. Results School age was the age of onset in children . The patients should not have apparent sign in lung. Extrapulmonary complications were detected. These patients were all cured by azithromycin. Conclusions School age children are most like- ly to contract myeoplasmal pneumonia. They may have severe symptoms but slight signs. The disease may cause muhisystem damage extrapulmonary. Azithremyein is the first choice of the treatment for mycoplasmal pneumonia.