不同年龄儿童肺炎支原体肺炎的临床特征分析

Analysis of clinical features of mycoplasma pneumoniae pneumonia in children at different ages

目的了解不同年龄组儿童肺炎支原体肺炎的临床特征。方法分析本院住院治疗的419例肺炎支原体肺炎患儿的临床资料。将所有患儿按年龄分为≤3岁组237例和>3岁组182例。比较不同年龄组儿童在临床症状、肺部体征、胸部X线表现和辅助检查结果等方面的差异。结果≤3岁组患儿喘息及粒细胞减少发生率较多,治疗过程中较多使用激素。肺炎支原体肺炎患儿胸部X线表现多种多样。各个年龄组最常见的胸部X线征象是小叶实质浸润,而肺段实质浸润更多见于>3岁组。结论不同年龄组儿童肺炎支原体肺炎在临床症状、肺部体征、辅助检查结果以及胸部X线表现等方面存在一定差异,在临床工作中应该予以重视。

Objective To investigate the clinical characteristics of mycoplasma pneumoniae pneumonia in children of different age groups. Methods The clinical data of 419 children with mycoplasma pneumoniae pneumonia were analyzed. They were divided into two groups according to their ages： the group A（ ≤3 years old,n = 237） and the group B（ 3 years old,n = 182）. The differences of clinical symptoms,lung signs,chest X ray findings and auxiliary examination results were compared between the two groups. Results There were higher incidence in wheeze and neutropenia in the group A. More hormones were used in the process of treatment. The children with MPP had multiple presentations of chest X-rays. Lobular parenchymtous infiltration was among common pulmonary X-ray findings in both groups. More segmental parenchymtous infiltration of chest X-ray could be found in the group B. Conclusion Mycoplasma pneumoniae pneumonia in different ages has some differences in clinical symptoms,such as lung signs,auxiliary examination results and chest X ray manifestations,and it should be paid attention to in clinical work.