小儿支原体肺炎63例临床分析

Clinical Analysis of 63 Patients with Mycoplasma Pneumonia in Children

目的:分析小儿肺炎支原体(MP)感染及肺外表现的临床特点,提高其诊断率。方法:回顾性分析63例确诊者的临床资料。结果:所有患儿均有咳嗽,部分伴喘息,多数患儿肺部体征轻微,胸片以大片及斑片阴影为主,痰MPPCR或血MP-IgM阳性。结论:对咳嗽时间较长且剧烈,肺部体征轻,X线片肺部病变显著者,应及早做相应检查,以免延误MP的诊断和治疗。

Objective: To analysis the clinical characterist of mycoplasma pneumonia (MP) in children in order to increase ratio of correct diagnosis. Method: Sum up clinical manifestation and laboratory examination of 63 patients retrospectively. Result: Cough in all patients and wheeze in part patient, slight pulmonary sign in most patients, carpets and patchy opacities shadow in chest radiograph, MP-PCR in sputum or MP-IgM in blood were positive. Conclusion: When we find cough too long or slight lung sign and abnormality significantly in chest radiograph, we must do relevant examination to MP in order not to prolong diagnose and therapy.