小儿支原体肺炎的临床诊治探讨

The clinical diagnosis and treatment of children with mycoplasma pneumonia

目的探讨小儿支原体肺炎的临床特点，寻求小儿支原体肺炎临床诊治方法。方法采用回顾性分析的方法，对我院2013年1月一2014年7月收治的90例支原体肺炎患儿的临床诊疗资料进行对比分析，90例支原体患儿的症状全部符合小儿支原体肺炎的临床表现和诊断标准。对90病例进行分组，采取随机分组的方式划分为阿奇霉素组、红霉素组、序贯治疗组（阿奇霉素＋红霉素组）。结果序贯治疗组治疗效果要高于阿奇霉素组和红霉素组，序贯治疗组显效病例21例，有效病例9例，无无效病例，总有效率为100％。在接受治疗4周以后各项指标正常符合出院标准，未出现死亡病例和其他并发症。结论在小儿支原体肺炎的临床治疗中，使用阿奇霉素和红霉素序贯治疗法具有明显的疗效。

objective to investigate the clinical characteristics of children with mycoplasma pneumonia, method for clinical diagnosis and treatment pneumonia. analysis January 2 cases of pneumonia of children with mycoplasma Methods the retrospective method, in our hospital in 2013 - July 2014 treated 90 children data, th and analyzes the c and treatment of 90 with mycoplasma is paper compares linical diagnosis cases of children with mycoplasma symptoms all conform to the clinical manifestations of children with mycoplasma pneumonia and diagnostic criteria. To group 90 cases, adopt the method of randomized divided into azithromycin group erythromycin group, sequential therapy group （group azithromycin ＋erythromyein）. Results sequential erythromycin treatment group curative effect than azlthromycin combination group, sequential treatment group （21 cases were markedly improved effective in 9 ineffective, the was 100%. After the indicators c ot 4 ases, no cases al effective rate weeks treatment meet the discharge standard, normal caused no deaths and ot th wi of he e th r complications. Conclusion in clinical treatment of children mycoplasma pneumonia, the use azithromycin and erythromycin sequential therapy has obvious curative effect.