小儿肺炎支原体感染伴肺外并发症的临床研究

Clinical research of mycoplasma pneumoniae infection with pulmonary complications

目的:探讨小儿肺炎支原体感染伴肺外并发症的临床特点及治疗方法。方法:回顾性分析本院2008年2月～2010年2月收治的148例肺炎支原体感染患儿的临床资料,其中50例伴有肺外并发症,分析其实验室检查、治疗方法及疗效。结果:50例小儿肺炎支原体感染伴肺外并发症,采用阿奇霉素治疗的总有效率为92.0%,显著高于常规治疗的68.0%,P<0.05。观察组疗效显著优于对照组,P<0.05。出院后两组均采用口服阿奇霉素治疗,每次10mg/kg,每天1次,服3d停4d,连续治疗2～3个疗程。结论:肺炎支原体感染可致小儿肺外多种并发症发生,临床上应提高认识,合理使用抗生素。

Objective： To investigate the mycoplasma pneumoniae infection in mixed clinical features of pulmonary complications and treatment. Methods： A retrospective analyzed of our hospital from February 2008 to February 2010 were treated 148 cases of mycoplasma pneumoniae infection in children with clinical data, of which 50 cases with pulmonary complications, analyzed of the laboratory tests, treatment and efficacy. Results： Fifty cases of mycoplasma pneumoniae infection in mixed pulmonary complications, the use of azithromycin in the treatment of the total effective rate of 92.0% was significantly higher than conventional therapy 68.0%, P〈0.05. Effect of the observation group was significantly better than the control group, P〈0.05. Both groups were discharged after treatment of oral azithromycin, each 10 mg/kg, once a day, take 3 days to stop 4 days, continuous treatment for 2 to 3 courses. Conclusion： Mycoplasma pneumoniae infection in children can cause a variety of pulmonary complications, clinical practice should be to raise awareness, reasonable use of antibiotics.