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目的:总结分析小儿支原体肺炎的临床特点及诊治要点,旨在提高此病的临床疗效。方法:选取我院儿科收治的支原体肺炎患儿76例作为研究对象,并将其临床资料及诊治过程进行回顾性的分析。结果:在这76例患儿中,大部分患儿以发热(53例,占患儿总数的69.7%)、咳嗽(69例,占患儿总数的90.8%)等症状为主要临床表现,部分患儿表现出肺部体征(56例,占患儿总数的73.7%)。经影像学检查,这些患儿的肺部均可见不同程度的炎症改变,约有1/3的患儿出现肺外异常的表现。应用以口服、静点阿奇霉素为主的方法对这些患儿进行治疗,临床疗效令人满意,目前这些患儿已全部痊愈出院。结论:支原体肺炎是儿童常见的呼吸道感染性疾病,临床表现以发热、咳嗽等症状为主,患儿的肺部病变较为明显,且极易合并肺外病变。应用以口服、静点阿奇霉素为主的方法治疗此病的疗效十分显著,值得在临床上推广应用。
Objective: To summarize and analyze the clinical features and diagnosis and treatment of children with mycoplasmal pneumonia, and to improve the clinical efficacy of the disease. Methods: A total of 76 children with Mycoplasma pneumonia admitted from our hospital were selected as the research object, and their clinical data and diagnosis and treatment process were retrospectively analyzed. Results: Among the 76 children, most of the children had the main clinical manifestations of fever (53 cases, 69.7% of the total number of children), cough (69 cases, 90.8% of the total number of children), and some Children showed signs of lung (56 cases, 73.7% of the total number of children). The imaging examination, the lungs of these children were seen varying degrees of inflammatory changes, about 1/3 of children with extrapulmonary findings. Application Oral, intravenous azithromycin-based approach to treatment of these children, the clinical efficacy is satisfactory, at present, these children have all been cured and discharged. Conclusion: Mycoplasma pneumonia is a common respiratory infectious disease in children. The main clinical manifestations are fever, cough and other symptoms. Children with pulmonary lesions are more obvious and easily complicated with extrapulmonary lesions. Application of oral, intravenous azithromycin-based approach to the treatment of the disease is very significant, it is worth to promote the clinical application.