小儿肺炎支原体肺炎合并腹泻的临床分析

Clinical Analysis of Mycoplasma Pneumoniae Combined with Diarrhea in Children

目的分析小儿肺炎支原体肺炎合并腹泻发生率及影响因素。方法观察240例确诊为肺炎支原体肺炎患儿用药前后腹泻发生率,分析其年龄分布特点及腹泻病因。结果 240例患儿用药前合并腹泻为23例(9.58%),用药后继发腹泻73例(30.42%);年龄越小(婴幼儿组)所占比例越大,合并轮状病毒感染、继发细菌和真菌感染的几率越大。结论肺炎支原体肺炎可引起患儿腹泻,其原因可能与肺炎支原体的感染、抗生素的应用、合并轮状病毒和继发真菌感染等因素有关。

Objective To investigate the incidence rates and influential factors of mycoplasma pneumonia complicated with diarrhea in children. Methods The incidence of diarrhea in 240 children diagnosed as mycoplasma pneumoniae pneumonia before and after treatment was observed. The age distribution and etiology of diarrhea were analyzed. Results Among the 240 children,there were 23 cases(9.58%)with diarrhea before treatment and 73 cases(30.42%)with secondary diarrhea after treatment. The smaller the age(infants and young children),the more likely it is to be associated with rotavirus infection and secondary bacterial and fungal infections. Conclusion Mycoplasma pneumoniae pneumonia can cause diarrhea in children. The reasons may be related to the infection of mycoplasma pneumoniae,the application of antibiotics,rotavirus combined infection and secondary fungal infection.