摘要
目的 探讨难治性肺炎支原体肺炎（RMPP）的诊断和治疗.方法 对2009年1月至2013年12月收治的30例RMPP患儿的临床表现、诊治过程进行回顾性分析.结果 30例患儿均伴有发热和顽固性干咳,热型为稽留热,18例C反应蛋白升高（22～100 mg/L）,1例痰培养出肺炎克雷伯菌,8例胸部X线片示中下肺野大片状阴影,3例合并胸腔积液,2例合并肺不张,1例合并有少量心包积液.3例心电图异常,3例肌酸激酶同工酶MB升高,2例肝功能异常,1例肌钙蛋白升高.30例均治愈,最短时间12d,最长时间4个月,有1例引起闭塞性支气管炎,效果较差.结论 RMPP应早期诊断,分析其病因,在应用红霉素静脉滴注治疗的基础上,及早给予糖皮质激素和人免疫球蛋白治疗.
Objective To investigate the diagnosis and treatment of refractory Mycoplasma pneumoniae pneumonia （RMPP）.Methods The clinical manifestations,diagnosis and treatment of 30 children with RMPP from January 2009 to December 2013 were analyzed retrospectively.Results Thirty children were accompanied by fever and intractable cough,fever type of relapsing fever,18 cases of elevated C-reactive protein （22-100 mg/L）,1 case had sputum culture of Klebsiella pneumoniae,8 cases showed lower lung wild large patchy shadows,3 cases of pleural effusion,2 cases of pulmonary atelectasis,1 case had a pericardial effusion.Three cases of electrocardiogram abnormalities,3 cases of elevated creatine kinase isoenzyme-MB,2 cases of abnormal liver function,1 case of elevated troponin.Thirty cases cured completely,the smallest course was 12 d,the longest course was 4 months.There was 1 case of bronchiolitis obliterans caused by poor results.Conclusion RMPP should be given early diagnosis and analysis of its causes,on the basis of erythromycin infusion therapy,glucocorticoid and human immunoglobulin treatment should be carried out in a timely manner.
出处
《中国医师进修杂志》
2015年第2期109-111,共3页
Chinese Journal of Postgraduates of Medicine
关键词
支原体
肺炎
难治性
诊断
治疗
Mycoplasma pneumoniae
Refractory
Diagnosis
Treatment
