肺炎支原体感染致大叶性肺炎33例临床分析

Lobar pneumonia caused by mycoplasma pneumoniae infection in 33 cases

目的探讨肺炎支原体感染致大叶性肺炎的临床特征。方法对2011年9月至2012月2月在滨州市人民医院诊治的肺炎支原体感染致大叶性肺炎33例患儿的临床资料进行分析。结果肺炎支原体感染致大叶性肺炎发病年龄以学龄期儿童多见，症状重，以咳嗽、发热多见；体征轻，以闻及干啰音、呼吸音粗或呼吸音低为多；胸部影像学改变明显，尤以右下叶大片状密度增高影为多；肺炎支原体IgM抗体早期可不升高。结论肺炎支原体感染致大叶性肺炎应结合患儿的临床表现及肺部体征进行X射线检查以及实验室检查，明确诊断，及早治疗。

Objective To investigate the clinical characteristics of lobar pneumonia caused by mycoplasma pneumoniae infection. Methods The clinical data of 33 cases of lobar pneumonia caused by mycoplasma pneumoniae infection in Binzhou people＇ s hospital from September 2011 to February 2012 were analyzed retropectively. Results The majority of patients were school children. The clinical symptoms were severe and the common clinical symptoms were fever and cough. The physical signs were not typical and the common physical signs were dry rales or coarse breath sound or decreased breath sound. The common thoracic imaging changes were obvious and mostly were large patches of dense shadow in right lower lung. Mycoplasma pneumoniae IgM ,antibody didn＇ t risein early stage. Conclusions Lobar pneumonia caused by mycoplasma pmeumoniae in children should be diagnosed by the clinical manifestations and pulmonary signs, X-ray examination and laboratory tests, and early treated.