儿童重症支原体肺炎的临床分析

Clinical analysis of pediatric severe mycoplasma pneumonia

目的分析小儿重症支原体肺炎的临床特点。方法选取2009年6月～2012年6月本院收治的84例小儿重症支原体肺炎病例,探讨重症支原体肺炎的临床特点及治疗方案。结果 84例患者用药4d后体温下降至38℃以下,治疗4周后47例刺激性干咳症状消失、4例减轻。4周后患者临床症状缓解显著,治疗前后患者临床症状差异具有统计学意义(P<0.05)。结论对小儿重症支原体肺炎应及早作出诊断,并进行阿奇霉素与头孢类药物联合使用,必要时予以激素及丙种球蛋白治疗,以提高临床治疗效果。

Objective To analyze the clinical characteristics of pediatric severe mycoplasma pneumonia.Methods Eighty four cases of pediatric severe mycoplasma pneumonia in our hospital from June 2009 to June 2012 were selected.Clinical characteristics and treatment methods were analyzed.Results After 4 days treatment,body temperature of 84 cases all were below 38℃;after 4 weeks treatment,irritating cough symptoms of 47 cases disappeared,and symptoms of 4 cases were re lieved.After 4 weeks treatment,clinical symptoms of all patients were relieved significantly,and the difference between pre-treatment and post-treatment was statistically significant（P 〈0.05）.Conclusion Pediatric severe mycoplasma pneumonia should be diagnosed as soon as possible,and combine with the drug treatment of azithromycin and cephalosporins,otherwise,in order to improve curative effect,hormone and immunoglobulin also could be in consideration.