大叶性肺炎支原体肺炎的临床特点研究

Clinical Characteristics of Lobar Mycoplasma Pneumoniae Pneumonia

目的对大叶性肺炎支原体肺炎(MPP)患者的临床特点进行研究。方法对我院收治的大叶性肺炎支原体肺炎患者及非大叶性MPP患者的临床资料进行回顾性分析,研究大叶性肺炎支原体肺炎患者临床特点。结果研究组体温>39℃、发热时间>10d、CRP>10mg/L、CRP>40mg/L指标与参照组相比有明显差异(P<0.05);两组消化系统受累比例最高,其次为γ-GT升高、心血管系统受累、血液系统受累,研究组肺外并发症率为52.0%,与参照组相比明显更高(P<0.05)。结论大叶性肺炎支原体肺炎患者临床症状较为中,体征变化较为明显,肺外并发症较多,多表现为CRP升高,发热时间会延长,根据患者临床特点给予对症治疗,可有效提升临床治疗效果。

Objective To study the clinical characteristics of lobar mycoplasma pneumonia（MPP）. Methods The clinical data of patients with mycoplasma pneumoniae pneumonia and non-lobular MPP patients admitted to our hospital were retrospectively analyzed to study the clinical features of patients with mycoplasma pneumoniae. Results In the study group, the body temperature 〉39℃, fever time〉10 d, CRP 〉10 mg/L, CRP 〉40 mg/L were significantly different from those in the reference group（P〈0.05）. The two groups had the highest proportion of digestive system involvement, followed by increased gamma γ-GT, cardiovascular system involvement, and blood system involvement. The rate of extrapulmonary complications was 52%, which was significantly higher than that in the reference group（P〈0.05）. Conclusion The clinical symptoms of patients with mycoplasma pneumoniae pneumoniae have more obvious changes in clinical symptoms and signs, more extrapulmonary complications, more manifestations of elevated CRP, prolonged fever time, symptomatic treatment based on clinical characteristics of patients can effectively improve the clinical treatment effect.