116例小儿大叶性肺炎的临床分析

Clinical Characteristics Analysis of 116 Cases With Pediatric Lobar Pneumonia

目的对小儿大叶性肺炎的临床特征、致病原等进行临床分析,方法对116例小儿大叶性肺炎患儿X光表现、实验室检查以及其他治疗反映进行专题性分析与研究。结果小儿大叶性肺炎以发热、咳嗽为主要临床特点。白细胞及中性粒细胞增高66例;病原学上感染率最高是肺炎支原体78例,其次按照顺序分别为:嗜血流感杆菌、粪肠球菌、血液链球菌、肺炎克雷伯菌、金黄色葡萄球菌和肺炎链链球菌等。结论自2006年以来大叶性肺炎增多,对于发热和(或)咳嗽1周以上者,不论有无肺部体征应常规做X线胸片检查及痰培养,并进行病原学监测,合理应用抗生素。

ObjectiveTo study the clinical characteristics analysis of pediatric lobar pneumonia.Methods116 cases of children with infantile lobar pneumonia X-ray manifestation,laboratory examination and other treatment reflects the unique analysis and research.Results The lobar pneumonia in children with fever,cough as the main clinical features. White blood cels and neutrophils increased 66 cases. Infection rate is highest on etiology pneumonia mycoplasma 78 cases,secondly in sequence were： bloodthirsty bacillus flu,dung enterococcus,blood streptococcus pneumoniae,klebsiella pneumoniae,staphylococcus aureus,streptococcus pneumonia chain and so on.Conclusion The lobar pneumonia increased significantly since 2006. For fever and cough for more than 1 week,（or）for lung signs should do routine X-ray sternum examination and sputum culture. Should be monitored for etiology,reasonable application of antibiotics.