儿童肺炎支原体感染与大叶性肺炎临床相关性分析

The analysis about clinical correlation between mycoplasma pneumoniae infection and labor pneumonia in children

目的探讨儿童肺炎支原体感染与大叶性肺炎的临床相关性。方法收集确诊为大叶性肺炎的患儿219例,其中肺炎支原体抗体检测阳性者117例,对其临床资料进行总结,对大叶性肺炎患儿的临床症状、体征、实验室检查、治疗及预后的基本情况进行分析。结果肺炎支原体感染引起大叶性肺炎发生率较高,表现多样。肺炎支原体抗体检测阳性与阴性者在临床表现、实验室检查、治疗及预后方面无明显差异。血沉增快、CRP增高提示存在支原体感染可能,但差异无明显统计学意义。结论大叶性肺炎临床表现在肺炎支原体抗体阳性与阴性者中无明显差异,其治疗方面倾向于大环内酯类药物。

Objective To discuss the correlation of mycoplasma pneumonia infection and labor pneumonia .Methods 219 ca ses of lobar pneumonia were collected in which 117 cases were diagnosed of mycoplasma pneumonia with antibody test positive , the clinical data of labor pneumonia were summarized ,clinical symptoms ,signs ,laboratory examinations ,treatment and progno sis were compared .Then analysis the difference and relevance between the children of mycoplasma pneumoniae antibody test positive and negative .Results Lobar pneumonia caused by mycoplasma pneumoniae had higher incidence ,patients with myco plasma pneumoniae antibody test positive and negative had no significant differences in clinical presentation ,laboratory exami nations ,treatment and prognosis .ESR ,CRP increased indicated the presence of mycoplasma infection ,but had no significant difference .Conclusions There were no significant differences in the clinical manifestations of mycoplasma pneumoniae antibody test positive and negative ,the treatment tended to use macrolides .