儿童大叶性肺炎合并肺炎支原体感染的临床特征

Clinical Characteristics of Children Lobar Pneumonia Combined with Mycoplasma Pneumoniae Infection

目的：通过分析儿童大叶性肺炎合并肺炎支原体感染的临床特征,为疾病诊治提供依据。方法：以本院2012年8月-2014年8月收治的120例支原体肺炎患儿为研究对象,其中支气管肺炎55例,设为对照组,大叶性肺炎合并肺炎支原体感染65例,设为观察组,比较两组患儿年龄、肺炎表现、并发症、治疗及转归等情况。结果：观察组发病年龄集中在5~12岁,发热（38.5℃以上）、胃肠症状、精神症状、肝及心肌损害、胸腔积液及肺不张并发症分别为84.62%、24.62%、20.00%、52.31%、27.69%,与对照组的54.55%、9.09%、3.64%、23.64%、7.27%比较差异均有统计学意义（P〈0.05）。观察组2周胸片吸收率明显比对照组少（P〈0.05）,另外两组平均住院时间[（18.20±3.58）d vs（12.08±1.85）d]比较差异有统计学意义（P〈0.05）。结论：大叶性肺炎合并肺炎支原体感染以学龄期儿童为主,易合并肺外并发症,疗程长且胸片吸收相对慢。

Objective：To analyze clinical characteristics of children lobar pneumonia combined with mycoplasma pneumoniae infection,and offer the basis for the diagnosis of illness.Method：120 cases of mycoplasma pneumoniae infection hospitalized from August 2012 to August 2014 who were selected as study objects,there were 55 cases of bronchial pneumonia,who were selected as control group,there were 65 cases of lobar pneumonia combined with mycoplasma pneumoniae infection,who were selected as the observation group,age,pneumonia show,complications,treatment and prognosis of performance of children patients of two groups were compared.Result：Illness age incidence of children patients of the observation group were from five to twelve,fever（above 38.5 ℃）,gastrointestinal symptoms,psychiatric symptoms,liver and cardiac damage,pleural effusion and pulmonary atelectasis complications were respectively 84.62%,24.62%,20.00%,52.31%,27.69%,those of the control group were 54.55%,9.09%,3.64%,23.64%,7.27%,the differences had statistical significance（P〈0.05）.X-ray absorption rates of two weeks of the observation group were significantly less than those of the control group（P〈0.05）,average hospitalization time of other two groups were[（18.20±3.58）d vs（12.08±1.85）d],the difference had statistical significances（P〈0.05）.Conclusion：Lobar pneumonia with pneumonia mycoplasma infection is main school aged children,easily combined with pulmonary complications,course of treatment is long and chest X-ray absorption is relatively slow.