113例小儿支原体肺炎的临床分析

Clinical Analysis of 113 Cases of Infantile Mycoplasmal Pneumonia

目的 探讨小儿支原体肺炎的临床特点 ,提高其诊断率。方法 分析 113例小儿支原体肺炎的临床资料。肺炎支原体 (MP)检测采用聚合酶链反应 (PCR)技术进行测定。结果 小儿支原体肺炎发病年龄偏小 ,临床上均有咳嗽 ,常伴发热和气喘 ,多数肺部体征轻 ,X片肺部病变显著 ,肺外表现以心肌损害多见。结论 对咳嗽时间长 ,肺部体征轻 ,X片肺部病变显著 ,且常规抗生素治疗无效患儿 ,应及早行MP特异性检查 。

Objective To discuss the clinical features of infantile mycoplasmal pneumonia so as to raise diagnostic rate.Methods The Clinical references of 113 cases of inantile mycoplasmal pneumonia were analyed and the detection of MP was determined by PCR.Results Smaller children are susceptible to infantile mycoplasmal pneumonia with the clinical manifestation of coughing,often accompanied by high body temperature and asthma;most of them showed slight physical sign and X-ray indicated significant pathologic changes of the lungs;myocardial damage was the common extra pulmonary symptom.Conclusions MP detection should be applied as early as possible to those patients with long-time coughing,slight physical features,significant pulmonary pathologic changes on roentgenogram and no response to routine antibiotic treatment;and the pathologic tendency in smaller children should be noted