小儿肺炎支原体感染肺内、外脏器损害的临床分析

Clinical analysis on the extra-pulm and onary complications of children with mycoplasma pneumoniae infection

目的探讨小儿肺炎支原体（MP）感染肺内、外脏器损害的特点，旨在进一步提高临床诊治水平。方法回顾性分析2008年1月～2011年1月我科收治的220例MP感染患儿的临床资料。结果MP感染181例有呼吸道表现，60例有肺外脏器损害（部分兼有肺内外表现），受累脏器中以消化道、皮肤、循环系统、神经系统多见。本组220例患儿中，215例病情基本痊愈，痊愈率97．8％，临床症状均消失，实验室指标恢复正常，通过门诊随访，无一例心脏彩超发现异常，无一例死亡。平均7．3d热退。结论小儿肺炎支原体感染除侵犯呼吸系统外，还可累及肺外脏器，应引起临床医生的重视。

Objective To study the clinical manifestations and features of the extra-pulm onary complications of myeoplasma pneumonia in children and to improve the diagnosis and treatment. Methods The clinical data of 220 hospitalized children with myeoplasma pneum oniae from January 2008 to January 2011 were observed and analyzed.Results 181 enrolled cases had respiratory symptoms,60 cases had extra-pulm onary complications.The digestive system,the skin,circulatory system,and nervous system were more commonly revolved. Among 220 eases children,215 cases of the disease basically cured,the cure rate was 97.8%,the clinical symptoms disappeared and laboratory parameters returned to normal,through patient follow-up,no ease of abnormal echocardiography,with no deaths. Average 7.3d heat back. Conclusion In addition to the respiratory infection,the MP infection can also revolve extra-pulmonary organs.So clinical physicians should pay special attention to all these scenarios.