小儿肺炎支原体感染的临床检验特点分析

Analysis Clinical Characteristics of Mycoplasma Pneumoniae Infection in Children

目的分析小儿肺炎支原体感染的临床检验特点,为提高确诊率提供理论基础。方法对我院收治的80例小儿肺炎支原体感染患儿的检验资料包括常规检查资料、被动凝集法检查肺炎支原体阳性资料、酶联免疫吸附法检查肺炎支原体阳性资料进行回顾性分析,总结检验特点。结果 31例患儿白细胞数目〉10.0×10^9,39例患儿白细胞数目（4.0x10.0）×10^9,10例患儿白细胞数目〈4.0×10^9;尿检发现8例患儿出现尿蛋白,19例患儿潜血阳性,其他患儿正常;痰液细菌培养,33例支原体阳性,21例肺炎链球菌阳性,16例肺炎克雷伯菌阳性,10例阴沟肠杆菌阳性;被动凝集法检查肺炎支原体阳性率为43.75%;酶联免疫吸附法检查阳性率为54.69%,被动凝集法和酶联免疫吸附法检查患儿肺炎支原体阳性比较,t=1.04,P〉0.05。结论患儿诊断小儿肺炎支原体感染时,应该做全面检查,可以进一步确诊是否是小儿肺炎支原体感染,帮助及时进行确诊后的治疗。

Objective Mycoplasma pneumoniae infection in children clinical testing features to improve the diagnosis rate for the theoretical basis. Methods This study is mainly mycoplasma pneumoniae in children with 80 cases of infection in children in our hospital inspection information, including routine inspection data, passive agglutination method checks mycoplasma pneumoniae positive data, ELISA method for detecting Mycoplasma pneumoniae positive retrospectively analyze and summarize test features. Results 31 patients leukocytes10.0×10^9, 39 patients leukocytes（4.0-10.0）×10^9,10 infants leukocytes4.0×10^9, urine found 8 cases of children with urinary protein, 19 cases children occult blood positive, the other normal children, sputum bacterial culture, 33 cases of mycoplasma-positive, 21 cases positive for Streptococcus pneumoniae, klebsiella pneumoniae positive 16 cases, 10 cases of E. cloacae positive, passive agglutination method for detecting mycoplasma pneumoniae positive rate of 43.75%, ELISA test positive rate was 54.69%, passive agglutination and ELISA method for detecting mycoplasma pneumonia comparison, t =1.04,P〈0.05. Conclusion The diagnosis of mycoplasma pneumoniae infection in children, should do a comprehensive inspection, can further confirm the diagnosis of mycoplasma pneumoniae infection in children, help timely treatment after diagnosis.