中枢神经系统受累肺炎支原体感染患儿的临床观察

Clinical Observation on Central Nervous System Involvement in Children With Mycoplasma Pneumoniae Infection

目的探析中枢神经系统受累肺炎支原体感染患儿的临床表现。方法我院共收治中枢神经系统受累肺炎支原体感染患儿64例,依照其入院单双次序将其分为对照组(n=32)与观察组(n=32)。对照组行阿奇霉素单药治疗,观察组在其基础上增加丙种球蛋白治疗。对两组患儿治疗前后临床表现进行观察对比。结果在临床治疗有效率上,对照组低于观察组(P<0.05)。在发热、抽搐、嗜睡、呕吐等症消失时间上,观察组均早于对照组(P<0.05)。结论中枢神经系统受累肺炎支原体感染患儿存在嗜睡、精神萎靡、发热咳嗽等症状,需给予其积极的对症治疗。

Objective To investigate the clinical manifestation of children with mycoplasma pueumoniae infection in central nervous system involvement. Methods 64 cases of central nervous system involvement and mycoplasma pneumoniae infection children were treated in our hospital, The patients were divided into control group （n=32） and observation group （n=32） according to their double orders. The control group was treated with azithromycin, and the observation group was treated with gamma globulin. The clinical manifestations of two groups before and after treatment were observed and compared. Results The effective rate of clinical treatment was lower in the control group than in the observation group （P〈0.05）. In the time of fever, convulsions, lethargy and vomiting, the observation group was earlier than that of the control group （P〈0.05）. Conclusion Central nervous system involvement with mycoplasma pneumoniae infection in children with drowsiness, malaise, fever, cough and other symptoms, need for positive symptomatic treatment.