小儿支原体肺炎69例临床分析.docVIP

　　小儿支原体肺炎69例临床分析 【摘要】 　　目的 探讨小儿支原体肺炎的临床表现、X线表现，提高诊断、治疗水平。方法 采用回顾性研究方法对69例小儿肺炎支原体肺炎病例进行临床分析。结果 7个月~1岁发病例数占4.3%;1~3岁占17.4%;4~7岁占46.4%;8~13岁占31.9%。咳嗽占100%;发热占63.8%;56.5%无肺部体征。胸部X线表现右肺病变者占30.4%，左肺占18.8%，双肺占50.8%，肺间质性病变表现为两肺纹理增粗，边缘模糊，肺门增大，结构紊乱占62.3%;小叶性肺实质浸润病变表现为两肺中、下野内带斑片状及云絮状阴影，病灶融合可呈磨玻璃密度占30.5%;肺段实质性浸润病变 表现为边界清楚的三角形或扇形大片状高密度阴影占7.2%。检测血清肺炎支原体抗体IgM全部阳性。结论 小儿支原体肺炎好发于学龄儿童,血清学检测为诊断的主要手段;采用红霉素、阿奇霉素序贯治疗效果显著，总疗程3~4周。 【关键词】 支原体肺炎 诊断 儿童 　　[Abstract] Objective To discuss the young child mycoplasma pneumonia on the clinical manifestation, X performance, enhancing the diagnosis, the treatment level.Methods Used the revieple young child pneumonia mycoplasma.Results 7 months~1 year old accounted for 4.3%; 1 year old~3 years old accounted for 17.4%; 4 years old~7 years old accounted for 46.4%; 8 years old~13 years old accounted for 31.9%.The cough accounted for 100%; heat accounted for 63.8%;56.5% had non-lungs symptoms.X displays right pulmonary tuberculosis accounted for 30.4%, the left lung accounted for 18.8%, the double lung accounted for 50.8%, betance is tance is in tinated shape and the cloud cotton ay assume the ground glass density to account for 30.5%; The lung section substantive infiltration pathological change displays for the boundary clear triangle or the fan-shaped big laminated high density ination of blood serum pneumonia mycoplasma immune body IgM pletely is positive.Conclusion Young child mycoplasma pneumonia began in the school-age child, the serology examination for the diagnosis is main method; Use the erythromycin, the mildeent,result is usually remarkable, total treatment courseart 3~4 ycoplasma pneumonia;diagnosis;child 　　肺炎支原体(mycoplasma pneumoniae,MP)感染是学龄期儿童社区获得性肺炎最常见的病因之一，近年来婴幼儿支原体肺炎感染的病例增多，对我院2007年2月至2008年8月住院的69例婴幼儿支原体肺炎的临床资料回顾分析如下。 　　1 临床资料 　　1.1 一般资料 本组69例患儿中，男39例，女30例;年龄最小7个月，最大11岁。其中7个月～1岁3例(4.3%);1~3岁12例(17.4%);4~7岁32例(46.4%);8~13岁22例(31.9%)。 　　1.2 症状、体征 入院就诊时咳嗽69例(100%)。发热44例(63.8%)，其中体温37.3 ℃~38 ℃ 22例(31.9%);38.1 ℃~39 ℃ 15例(21.7%);39.1 ℃~41 ℃