成人支原体肺炎38例报告并文献复习

Adult mycoplasma pneumonia 38 cases report and literature review

目的:探讨支原体肺炎在成人中的临床表现和预后情况。方法:采用左氧氟沙星对38例支原体肺炎患者进行治疗,分析患者临床特点,治疗并复习文献。结果:38例患者主要临床表现为发热(89.5%)、咳嗽(94.7%)、咳痰(26.3%)、呼吸困难例(15.8%)等;胸部影像学检查:肺部病变多分布于左肺下叶、双侧肺多叶,影像学特征有:斑片影(87.61%)、磨玻璃影(38.94%)、大片实变影(18.58%)、间质浸润性(12.39%)。38例患者均采用左氧氟沙星治疗后痊愈出院。结论:支原体肺炎在成人的主要临床表现有咳嗽、发热、呼吸困难;左氧氟沙星在治疗支原体肺炎方面临床效果显著,影像学吸收完全,未见耐药及并发症产生。

Objective To explore the clinical and prognosis of adult mycoplasma pneumonia. Methods The data of 38 patients with mycoplasma pneumoniae were analyzed and the literature was reviewed with levofloxacin. Results 38 patients:Major clinical manifestations are fever(89.5%), cough(94.7%), expectoration(26.3%), dyspnea(15.8%), etc;Chest imaging examination: the distribution of pulmonary lesions present a left lower lobe see more, see more bilateral lung leafy two more features: patch shadow, ground glass shadow, large consolidation shadows, interstitial infiltrates lesions don't account for CT imaging features of 87.61%, 38.94%, 18.58%, 12.39%;38 patients were treated by levofloxacin recovered after treatment.Conclusion Mycoplasma pneumonia cough, fever, difficulty breathing as the main clinical manifestations;Levofloxacin in the treatment of mycoplasma pneumonia in clinical effect is remarkable, imaging absorbs completely, no drug resistance and complications.