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为了解老年呼吸道肺炎支原体感染现状及特点。在门诊或(和)住院呼吸道感染病人中,应用聚合酶链反应法检测患者咽试、痰或/和血标本,并密切观察临床症状、体征变化。结果示肺炎支原体感染中,儿童及少年组(<17岁)患者28例,占699%;成人组(18~59岁)患者61例,占196%;老年组(≥60岁)患者33例,占106%。老年组病例以男性为主,平均发病年龄673±52岁,多发生于冬季,表现以咳嗽、咳痰、气促、胸片异常,临床诊断为慢性支气管炎继发感染为主(占48%),经抗炎治疗后症状较儿童组消退慢。建议在慢性阻塞性肺病中常规查肺炎支原体,选用氨基甙或大环内酯类药物治疗肺炎支原体感染
In order to understand the status and characteristics of elderly respiratory Mycoplasma pneumoniae infection. In outpatients or (and) hospitalized patients with respiratory tract infections, the application of polymerase chain reaction test pharyngeal examination, sputum or / and blood samples, and close observation of clinical symptoms and signs. The results showed that mycoplasma pneumoniae infection in children and adolescents (<17 years) 28 patients, accounting for 699%; adult group (18 to 59 years) 61 patients, accounting for 19 6%; elderly group (≥ 60 years ) 33 patients, accounting for 10 6%. The elderly patients mainly male, with an average age of 67 3 ± 5 2 years old, occurred in winter, manifested as cough, sputum, shortness of breath, chest X-ray abnormalities, clinical diagnosis of chronic bronchitis secondary infection (Accounting for 48%), after anti-inflammatory treatment symptoms than children subsided slowly. Proposed chronic obstructive pulmonary disease routine check Mycoplasma pneumoniae, use aminoglycoside or macrolide drug treatment of Mycoplasma pneumoniae infection