392例肺炎支原体抗体阳性患儿的临床分析

Clinical Analysis of 392 Cases of Children with Mycoplasma Pneumoniae Antibody Positive

目的分析肺炎支原体（mycoplasma pneumoniae,MP）抗体阳性患儿的临床资料。方法收集392例MP阳性患儿的多项临床资料（年龄、临床表现、肺外症状、实验室检查、胸片、治疗与转归）进行回顾性分析。结果 0-1岁患儿占总发病的16.33%、1-3岁34.44%、4-7岁43.37%、8-14岁5.87%;所有患儿都有咳嗽、66.00%的患儿有发热和5.36%有消化系统症状;阿奇霉素治疗1周后有效率92.35%,红霉素治疗1周后有效率72.65%,治疗2周后94.89%患儿症状消失。结论 MP感染与年龄有关,以1-7岁儿童高发,主要有咳嗽、发热及消化道症状,对阿奇霉素治疗较为敏感。

Objective To analyze mycoplasma pneumoniae, mycoplasma pneumoniae, MP） antibody positive patients clinical data. Methods To collect clinical data of 392 cases of children with MP positive multiple were retrospectively anal yzed. Results 0-1 year old children account for 16.33% of the total morbidity, 1-3 year oldcbildren 34.44%, 4-7 year old children43.37%, 8-14 year old children5.87%; All children have a cough, 66.00% of children with fever and 5.36% had symptoms of digestive system; Azithromycin treatment effective rate was 92.35% after one week, one week after the erythromycin treatment effective rate was 72.65%, 94.89% in children with symptoms disappeared after 2 weeks treatment. Conclusion MP infection is with age is related to a high incidence of children 1-7 years old,mainly include coughing, fever and gastrointestinal symptoms, sensitive to azithromycin treatment.