婴幼儿肺炎支原体感染临床分析

Clinical analysis on Mycoplasma pneumonia infection in infants

目的:探讨婴幼儿肺炎支原体感染的临床特征、诊断及治疗。方法:回顾性分析经临床及病原学检查确诊的肺炎支原体感染45例住院婴幼儿。结果:婴幼儿支原体肺炎多以下呼吸道感染为主,肺外并发症以消化系统、循环系统为主,其他如神经、皮肤、泌尿系统亦多受累,临床症状和病原学检查可对其确诊。治疗首选阿奇霉素、红霉素,亦应注意综合治疗及肾上腺皮质激素的使用。结论:婴幼儿肺炎支原体肺炎临床表现多种多样、病情重、并发症多,病原学对婴幼儿肺炎支原体感染诊断有重要意义。对以呼吸道外症状为主要表现的病例要注意早发现、早诊断,及时给予足量阿奇霉素、红霉素治疗,预后较好。

Objective： To explore the clinical characteristics, diagnosis, and treatment of Mycoplasma pneumonia infection in in- fants. Methods： Forty - five infants who were diagnosed as Mycoplasma pneumonia infection by clinical examination and etiological examina- tion in the hospital were analyzed retrospectively. Results ： The infants with Mycoplasma pneumonia pneumonia were mainly caused by lower respiratory tract infection. Most of the extrapulmonary complications occurred in digestive system and circulatory system, others in nerves, skin, and urinary system. The infants could be diagnosed definitely by clinical symptoms and etiological examination. Azithromycin and e- rythromycin were preferred, comprehensive treatment and adrenal cortex hormone treatment should also be considered. Conclusion： Myco- plasma pneumonia infection has a wide variety of clinical manifestations and many complications. The disease is severe ; etiological examina- tion plays an important role in diagnosis of Mycoplasma pneumonia infection in infants. For the patients with extrapulmonary syndromes as dominam manifestations, early detection, early diagnosis, and timely treatment with azithromycin and erythromyein can achieve good progno- sis.