探讨小儿肺炎支原体肺炎的临床治疗效果

Clinical Treatment Effect of Mycoplasma in Children

目的对小儿肺炎支原体肺炎的临床治疗进行研究分析。方法根据2011年3月—2014年3月我院的64例肺炎支原体肺炎患儿进行研究分析,回顾患儿的临床治疗方式以及治疗效果。结果经实验室检查,有28.13%的患儿外周血白细胞升高,有21.88%的患儿外周血白细胞降低,有39.06%的患儿血沉增快,有10.94%的患儿心肌酶谱增高;X胸片检查显示,54.69%有云雾状阴影,37.50%存在肺门周围炎,7.81%有支气管炎;使用阿奇霉素序贯疗法治疗,临床治疗的有效率为96.88%,共有30例治愈,12例显效,20例有效,2例无效。结论阿奇霉素序贯疗法治疗小儿肺炎支原体肺炎具有比较高的有效率,临床中因为患儿症状缺乏典型性,因此要对患儿的症状,病史进行了解,结合实验室检查来确诊,再进行治疗。

Objective To investigate and analyze the clinical treatment of Mycoplasma pneumoniae in children. Methods From March 2011 to March 2014, 64 cases of Mycoplasma pneumoniae in children were analyzed, the clinical treatment methods and treatment effect of children were reviewed. Results The laboratory examination, 28.13% were peripheral white blood cells increased,21.88% were peripheral white blood cells decreased, 39.06% of the patients had higher ESR spectrum of myocardial enzymes in children 10.94%; X chest examination showed cloudy shadows in54.69%, 37.50% hilar inflammation, 7.81% have bronchitis; we use Azithromycin Sequential therapy, the clinical treatment efficiency was 96.88%, a total of 30 ca ses were c ured, 12 cases were cured, 20 cases effective, 2 cases invalid. Conclusion Sequential therapy of azithromycin treatment of mycoplasma pneumonia in children has relatively high efficiency, because of lack of representativeness,so it is necessary to understand the symptoms, medical history,combined with laboratory tests to confirm the diagnosis, and treatment.