肺炎支原体肺炎检测及肺外并发症分析

DETECTION OF MYCOPLASMA PNEUMONIA AND ANALYSIS OF IT'S COMPLICATIONS

目的探索肺炎支原体(Mp)培养法与ELISA法(检测Mp-IgM)对肺炎支原体感染的检出率及MP感染后肺外并发症情况。方法采用Mp培养法检测232例门诊及住院患者疑似Mp感染者,与ELISA法检测Mp-IgM抗体进行比较,并对40例住院病人做回顾性调查。结果 Mp培养法232例,Mp阳性率70.7%(164/232),ELISA法检测Mp-IgM阳性率25.0%(58/232)(P<0.001)。40例住院病人中,心脏、肝脏、胃肠道、肾脏、血液系统、皮肤、胸膜腔、神经系统等器官症状及改变分别为12.8%、15.4%、33.3%、10.3%、33.3%、23.1%、10.3%、12.8%。结论对支气管感染者需及早做Mp培养。Mp感染可以引起呼吸系统以外症状及改变,值得引起重视。

Objective To explore the method of cultivating mycoplasma pneumonia （MP）, the detection rate of mycoplasma pneumonia infection through ELISA and the incidence of extrapulmonary complica- tions. Methods 232 cases of suspicious MP infection from the out-patient department and in-patient depart- ment underwent MP cultivation detection and Mp-IgM detection through ELISA respectively, and the ret- rospective surveys on 40 hospitalized patients were conducted. Results The positive rates detected through MP cultivation detection and Mp-IgM detection through ELISA were 70. 7% and 25. 0% （P^0. 001） re- spectively. As to the 40 hospitalized patients, the incidences of extrapulmonary complications in heart, liv- er, gastrointestinal tract, kidney, hematological system, skin, pleural cavity and nervous system were 12. 8%, 15.4%, 33.3%, 10.3%, 33.3%, 23.1%, 10.3% and 12.8% respectively. Conclusion Bronchus in- fection patients need early MP cultivation. MP infection may also cause extrapulmonary complications.