小儿肺炎支原体肺炎的临床诊治分析

Analysis on clinical diagnosis and treatment of Mycoplasma pneumoniae pneumonia in children

目的:探讨小儿肺炎支原体肺炎的临床特点,提高小儿肺炎诊治水平。方法:回顾性分析该院在2011年5月～2012年5月收治并经过临床确诊的120例患者的临床资料。结果:120例患儿经过3～5天临床治疗后有99例患儿体温明显下降,咳嗽明显减轻。治疗7～9天后有18例患儿体温平稳,咳嗽明显减轻,其中有3例患儿合并军团菌感染高热持续11天后体温才恢复正常,临床对于合并其他的细菌感染18例患者给予头孢类或美洛西林治疗,对该组患儿临床经过12天治疗后经过复查X线胸片好转后出院进行随访,经1个月随访,所有患儿全部治愈。结论:小儿肺炎支原体肺炎是临床常见的疾病,临床表现为除呼吸道疾病外,常合并肺外多系统的损害,咽拭子支原体DNA检测阳性可以作为临床早期诊断的重要手段,对于小儿肺炎支原体肺炎临床采用阿奇霉素和红霉素治疗效果好。

Objective：To explore the clinical characteristics of Mycoplasma pneumoniae pneumonia in children,and improve the diagnostic level and curative level.Methods：The clinical data of 120 children who were diagnosed as Mycoplasma pneumoniae pneumonia definitely and treated in the hospital from May 2011 to May 2012 were analyzed retrospectively.Results：At 3-5 days after clinical treatment,body temperature of 99 children decreased significantly,cough was relieved obviously.At 7-9 days after treatment,the body temperature of 18 children maintained stable,cough was relieved obviously,and the body temperature of 3 children with Legionella infection combined with hyperpyrexia returned to normal after 11 days.Eighteen children with other bacterial infection were treated with cephalosporin and mezlocillin for 12 days,then they left the hospital after improvement of X-ray chest radiography reexamination,the children were followed up for more than one month,all the children were cured.Conclusion：Pediatric Mycoplasma pneumoniae pneumonia is a common disease,the clinical manifestations except respiratory disease,pulmonary multiple system damage is commonly combined,positive Mycoplasma pneumoniae DNA of throat swab can be used as an important method for clinical early diagnosis,the curative effects of azithromycin and erythromycin are good for clinical treatment of pediatric Mycoplasma pneumoniae pneumonia.