支气管肺炎与节段性肺炎异同的临床分析

Clinical Analysis of the Differences between Bronchial Pneumonia and Segmental Pneumonia

目的分析支原体肺炎中支气管肺炎与节段性肺炎的异同。方法收集2011年1月至2013年12月如东县第三人民医院收治的支原体肺炎住院患者136例,根据其影像学改变分为支气管肺炎组和节段性肺炎组,分析其临床特点的异同。结果支气管肺炎组患者外周血中性粒细胞、C反应蛋白(CRP)均显著低于节段性肺炎组[0.49±0.12比0.58±0.14、(4.9±2.1)mg/L比(16.2±6.3)mg/L],差异均有统计学意义(P<0.01)。支气管肺炎组患者肺部影像学表现为斑片状阴影73例(89.0%)、大片状阴影9例(1.0%);节段性肺炎组患者表现为斑片状阴影37例(68.5%)、大片状阴影17例(31.5%),差异有统计学意义(P<0.05)。结论支原体肺炎中支气管肺炎和节段性肺炎差异显著,节段性肺炎病情更重,值得临床治疗上予以充分重视。

Objective To analyze the differences between bronchial pneumonia and segmental pneumonia of myeoplasma pneumonia. Methods A total of 136 cases with myeoplasma pneumonia were collected in Rud- ong Third People＇s Hospital from Jan. 2011 to Dee. 2013 were collected, aeeording to the image changes they were divided into bronchial pneumonia and segmental pneumonia, and their clinical characteristics similarities and differences were analyzed. Resnits Peripheral blood neutropenia, C-reactive protein （CRP） in patients with bronchial pneumonia were significantly lower than the segmental pneumonia[0. 49 ±0. 12 vs 0. 58 ±0. 14, （4.9± 2. 1 ）mg/L vs （16. 2±6.3 ）mg/L] , and the differences were statistically signffieant （P 〈 0. 01 ）. Pulmonary imaging findings in bronchial pneumonia group was ： patchy shadows 73 eases （ 89.0% ）, large patchy shadows 9 eases（ 1.0% ） ;in segmental pneumonia group was：patchy shadows 37 eases（68.5% ） ,large patchy shadows 17 eases（ 31.5% ）, the difference was statistically significant （P 〈 0. 05 ）. Conclusion In myeoplasma pneumonia, bronchial pneumonia and segmental pneumonia have significant differences. Segmental pneumo- nia is severer,which calls for sufficient attention in clinical treatment.