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支原体肺炎在儿童中多见,本文报导我科近4年间诊断的成人支原体肺炎45例(男35例,女10例,年龄13～64岁)。 45例中的35例均具有下列诊断条件:①胸部X线象具有与典型大叶肺炎改变不同的多形表现,②血清冷凝集试验滴度≥1:32,③用红霉素等肺炎支原体敏感的抗生素治疗有特效。45例中的男10例支原体抗体(间接血凝试验法)滴度≥1:32。临床症状与体征:45例中的38例以发热起病,体温在37.5～40.7℃,38～39℃者占55％。总热程1～30天,发热2周以内者71％,38例中14例伴有寒战,45例中的另外7例以非发热起病。呼吸系统症状中,除1例因体检发现而无症状,其余44例均有咳嗽,咯痰者27例,其中咯血痰5例,胸痛16例,胸闷者8例,呼吸困难1例,其他尚有头痛,全身疼12例,厌食、恶心5例,耳痛和皮疹各1例。胸部体
Mycoplasma pneumonia is more common in children. This article reports 45 cases of mycoplasma pneumonia (35 males and 10 females, aged 13-64 years) diagnosed in our hospital in the recent 4 years. Thirty-five of the 45 patients had the following diagnostic criteria: ① Chest X-ray images showed polymorphic behavior that differed from typical lobar pneumonia changes; ② serum cryogenic titer was ≥1: 32; ③ mycoplasma pneumoniae Sensitive antibiotic treatment with special effects. 45 cases of male 10 cases of mycoplasma antibodies (indirect hemagglutination test) titer ≥ 1:32. Clinical symptoms and signs: 38 of 45 cases were fever onset, body temperature 37.5 ~ 40.7 ℃, 38 ~ 39 ℃ accounted for 55%. The total heat 1 to 30 days, 71% of fever within 2 weeks, 14 cases of 38 cases with chills, and 45 cases of the other 7 cases with non-fever onset. Respiratory symptoms, in addition to 1 case found asymptomatic due to physical examination, the remaining 44 patients had cough, expectoration in 27 cases, including hemoptysis sputum in 5 cases, 16 cases of chest pain, chest tightness in 8 cases, 1 case of dyspnea, the other still There are headache, body aches in 12 cases, anorexia, nausea in 5 cases, 1 case of each earache and rash. Chest body