儿童重症支原体肺炎的临床特征和治疗分析

Analysis of clinical features and treatment of children with severe mycoplasma pneumonia

目的通过临床案例观察儿童重症支原体肺炎的临床特征,并探讨治疗方案。方法收集分析2010年3月至2011年10月的79例就诊的儿童重症支原体肺炎患者,回顾患者的临床症状和体征,以及治疗经过和预后转归。结果本文重症支原体肺炎主要以咳嗽、咳痰、发热为主要临床特征,有78.3%的患者出现肺外并发症,联合使用抗生素,辅以糖皮质激素或丙种球蛋白治疗,总有效率为87.50%,在临床上取得了良好的治疗效果。结论儿童重症支原体肺炎临床表现及其并发症严重,采取联合使用抗生素及糖皮质激素或丙种球蛋白治疗在临床上具有重要意义。

Objective To observe the clinical features of children with severe mycoplasma pneumonia,to explore treatment options.Methods Collected and analyzed from March 2010 to October 2011 79 patients in our department treatment of children with severe mycoplasma pneumonia patient records,then review the patient＇s clinical symptoms and signs,and treatment outcome and prognosis.Results This results mainly in severe mycoplasma pneumonia cough,sputum,fever as the main clinical features,78.3% of patients with pulmonary complications,the joint use of antibiotics,combined with corticosteroids or immunoglobulin therapy,achieved a good clinical therapeutic effect.Conclusions Children with severe clinical manifestations and complications of mycoplasma pneumonia severe joint use of antibiotics and corticosteroids or immunoglobulin therapy has important clinical significance.