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目的了解肺炎支原体(MP)脑炎的发病特点,提高其诊断与治疗水平。方法采用回顾性的方法对本院收治的13例小儿肺炎支原体脑炎病例进行分析。结果以中枢神经系统症状为首发症状11例,占84.6%;MP肺炎合并脑炎者3例,占23.1%;治愈12例(92.3%),好转1例(7.7%)。结论 MP感染导致脑炎以学龄期发病为主,占76.9%,发生率有上升趋势,尽早确诊、足量、全程、静脉滴注阿奇霉素及地塞米松可迅速改善中毒表现,有效降低死亡率,减少后遗症的发生。
Objective To understand the pathogenesis of Mycoplasma pneumoniae (MP) encephalitis and to improve its diagnosis and treatment. Methods A retrospective analysis of 13 cases of mycoplasma pneumoniae pneumonia admitted in our hospital was conducted. Results The central nervous system symptoms were the first symptom in 11 cases, accounting for 84.6%. 3 cases were MP pneumonia with encephalitis, accounting for 23.1%. 12 cases (92.3%) were cured and 1 case (7.7%) improved. Conclusion MP infection led to the onset of school-based encephalitis, accounting for 76.9% of the total. The incidence rate was on the rise. As early as possible, azithromycin and dexamethasone could be administered in sufficient quantities, Reduce the occurrence of sequelae.