儿童肺炎支原体感染肺外并发症临床分析

Clinical analysis of mycoplasma infection in pulmonary complications of pneumonia in children

目的:对儿童肺炎支原体感染肺外并发症进行临床分析。方法:选择小儿肺炎支原体感染肺外并发症患儿65例。将其作为研究组,选取无肺外并发症的65例患儿作为对照组。检测两组患儿的各类临床生化指标,记录肺外并发症发生的具体情况,并对其临床特征和肺外并发症进行分析。结果:两组临床特征的比较中,研究组胸片呈大片状阴影所占比例达到44.62%,明显高于对照组的32.31%,差异有统计学意义(P<0.05);对研究组的肺外并发症进行比较,其消化系统的并发症发生率64.62%为最高,神经系统并发症的发生率10.77%为最低。结论:患儿肺不张、胸片大片状和热程可作为并发症临床观察指征,儿童肺炎支原体感染肺外并发症会累及全身的各类组织系统,应积极进行MP的杀灭与治疗,以期减少并发症的发生。

Objective To clinical analysis of pulmonary complications in children with Mycoplasma pneumoniae infection. Method 65 cases of children with Mycoplasma pnenmoniae infection in children with pulmonary complications were selected as the study group,65 pa- tients without pulmonary complications were selected as the control group. Detection of various clinical and biochemical indexes in two groups, the specific circumstances of extrapulmonary complicationsrecorded, and the clinical features and pulmonary complications were ana- lyzed. Results In the comparison of the clinical characteristics of the two groups ,the study group of chest showed large patchy shadows in the proportion reached 44. 62% , significantly higher than the control group showed large patchy shadows in 32. 31% , compared with two groups of data, the difference was statistically significant （P 〈 0. 05 ） ;pulmonary complications in the study group were compared, the digestive system- complications the incidence rate of 64. 62% is the highest, the occurrence of neurological complications rate of 10. 77% was the low- est. Conclusion Children withatelectasis, chest big shape and thermal history can be used as a clinicalobservation on prevention of complica- tions of indications ,all kinds oforganization system of children mycoplasma pneumonia infection pulmonary complications involving the whole body, should actively carry out the MP killing intreatment,in order to reduce the occurrence of complications.