小儿肺炎支原体感染合并过敏性紫癜40例临床分析

Clinical analysis of 40 mycoplasma pneumoniae infection patients with allergic purpura

目的 探讨小儿肺炎支原体感染合并过敏性紫癜的临床特征及治疗方法.方法 回顾性分析40例肺炎支原体感染合并过敏性紫癜患儿的临床症状、病情治疗与转归情况.结果 腹型过敏性紫癜患者25例,关节型过敏性紫癜患者9例,肾型过敏性紫癜患者6例.部分患者还出现上、下呼吸道的感染.全部患者均接受改善血液流通、抗过敏等常规治疗,并在此基础上予以阿奇霉素、小剂量地塞米松或丙种球蛋白治疗.40例患者均治愈,平均住院天数为（18.6±3.1）d.结论 肺炎支原体感染可能引发过敏性紫癜,其临床症状有紫癜样皮疹,部分伴有上、下呼吸道感染,应予以常规抗肺炎支原体感染治疗,且治疗时间要充足,这对治愈过敏性紫癜、缩短住院时间、预防病情反复有着重要作用.

Objective To investigate the clinical features and treatment of mycoplasma pneumoniae infection complicated with allergic purpura. Methods 40 children with mycoplasma pneumoniae infection complicated with allergic purpura were selected. Clinical symptoms, disease treatment and outcome were analyzed retrospectively. Results 25 cases were abdominal type allergic purpura, 9 cases were articulated joints allergic purpura, 6 cases were kidney patients with allergic purpura. In addition, some patients showed upper or lower respiratory tract infections. All the patients received blood circulation improvement, anti-allergy and other conventional treatment, and on the basis of this, azithromycin,low-dose dexamethasone or gamma globulin was given. All 40 patients were cured, the average length of hospital stay was （ 18.6 ± 3.1 ） d. Conclusion Mycoplasma pneumoniae infection may trigger allergic purpura purpura-like rash, the clinical symptoms, some accompanied by lower respiratory infections, should give the conventional anti-mycoplasma pneumoniae infection treatment, and the treatment time should be sufficient to cure allergic purpura, shortening hospitalization time, has an important role in the prevention of recurrent disease.