小儿肺炎支原体肺炎合并腹泻患儿的临床发病特点分析

Analysis of Clinical Characteristics of Children with Mycoplasma Pneumoniae Pneumonia complicated with Diarrhea

目的探究小儿肺炎支原体肺炎合并腹泻患儿的临床发病特点。方法本文所选择的调查对象均来自2018年1月至2019年6月到我院进行治疗的小儿肺炎支原体肺炎患儿230例,对所有患儿的临床资料进行回顾性分析,对小儿肺炎支原体肺炎进行诊断,并且诊断小儿腹泻、病毒性肠炎、细菌性肠炎、真菌性肠炎,调查小儿肺炎支原体肺炎合并腹泻的临床发病特点。结果 230例患儿中合并腹泻症状的患儿109例,占47.39%;其中在用药之前小儿肺炎支原体肺炎合并腹泻症状的患儿39例,占16.96%,用药以后小儿肺炎支原体肺炎合并腹泻症状的患儿70例,占30.43%,用药后占比高于用药前;在小儿肺炎支原体肺炎合并腹泻的患儿中,3个月~3岁的患儿57例,4~13岁的患儿52例;细菌性肠炎患儿51例,占46.79%,轮状病毒性肠炎患儿21例,占19.27%,真菌性肠炎患儿7例,占6.42%,其他30例,占27.52%;45例细菌性肠炎均发生在6~8月,而18例轮状病毒性肠炎出现在9~11月,真菌性肠炎分布在各个月份。结论小儿肺炎支原体肺炎合并腹泻症状的患儿多发生在3个月~7岁,主要的发病因素是细菌性肠炎和轮状病毒性肠炎,因此临床应针对该类儿童强化监视工作。

Objective To investigate the clinical features of children with pneumonia mycoplasma pneumonia complicated with diarrhea.Methods The survey subjects selected in this article were all from 230 children with mycoplasma pneumoniae pneumonia who came to our hospital for treatment from January 2018 to June 2019.The clinical data of all children were retrospectively analyzed,and the children with mycoplasma pneumoniae pneumonia were analyzed retrospectively.Diagnose and diagnose children with diarrhea,viral enteritis,bacterial enteritis,fungal enteritis,and investigate the clinical characteristics of children with mycoplasma pneumoniae pneumonia combined with diarrhea.Results Among the 230 children,109 had diarrhea symptoms,accounting for 47.39%.Among them,39 children had mycoplasma pneumoniae pneumonia combined with diarrhea symptoms before the medication,accounting for 16.96%.After the medication,children had mycoplasma pneumonia pneumonia combined with diarrhea symptoms.There were 70 children,accounting for 30.43%,and the proportion after medication was higher than that before medication.Among children with mycoplasma pneumoniae pneumonia and diarrhea,57 cases were between 3 months and 3 years old,and 52 cases were between 4 and 13 years old.51 children with bacterial enteritis,accounting for 46.79%,21 children with rotavirus enteritis,accounting for 19.27%,7 children with fungal enteritis,accounting for 6.42%,the other 30 cases,accounting for 27.52%;45 cases of bacteria All cases of enteritis occurred in June to August,while 18 cases of rotavirus enteritis occurred in September to November,and fungal enteritis occurred in each month.Conclusion Children with mycoplasma pneumoniae pneumonia and diarrhea usually occur between 3 months and 7 years of age.The main pathogenic factors are bacterial enteritis and rotavirus enteritis.Therefore,clinical surveillance should be strengthened for such children.