小儿肺炎支原体肺炎诊治体会

Diagnosis and treatment experience of mycoplasma pneumonia in infantile pneumonia

目的：探讨小儿肺炎支原体肺炎诊治经验。方法：收治支原体肺炎患儿130例，均给予血常规、血清肺炎支原体特异性IgM(MP-IgM)、胸部X线或CT检查。均给予阿奇霉素和红霉素静脉滴注。结果：治愈率93.1%，显效率6.9%，总有效率100.0%，患者退热时间1～3d，平均(1.7±0.9)d，咳嗽消失时间4～7d，平均(5.6±1.5)d，肺部啰音消失时间5～10d，平均(7.6±2.2)d。结论：MP-IgM和X线是诊断小儿肺炎支原体肺炎的重要措施，阿奇霉素联合红霉素是治疗小儿肺炎支原体肺炎的重要药物，疗效显著。

Objective:To explore the diagnosis and treatment experience of mycoplasma pneumonia in infantile pneumonia.Methods:130 children patients with mycoplasma pneumonia were selected.They were given blood routine,serum mycoplasma pneumonia specific IgM(MP-IgM),chest X-ray or CT examination.They were given azithromycin and erythromycin intravenous injection.Results:The cure rate was 93.1% ,the markedly effective rate was 6.9% ,the total effective rate was 100.0% .The defervescence time of patients was 1～3 days,the average was (1.7 ± 0.9)days.The cough disappeared time was 4～7 days,the average was (5.6±1.5)days.The pulmonary rales disappearance time was 5～10 days,the average was (7.6±2.2)days.Conclusion:MP-IgM and X ray is an important measure for the diagnosis of mycoplasma pneumonia in infantile pneumonia.Azithromycin combined with erythromycin is an important drug in the treatment of mycoplasma pneumonia in infantile pneumonia,the curative effect is significant.