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目的观察婴儿肺炎支原体肺炎的临床特点及治疗。方法回顾性分析江苏省南通市通州区人民医院儿科2008年10月～2010年9月间住院治疗的86例婴儿肺炎支原体肺炎患儿的临床资料。结果 86例患儿急性起病为主(90.70%),临床症状及全胸片检查均无特异性,主要抚养者近期大多有肺炎支原体感染,阿奇霉素治疗疗效肯定,对于本组婴儿患者,阿奇霉素治疗未见明显不良反应。结论婴儿肺炎支原体肺炎无特异性临床症状及体征,对婴儿肺炎需重视病原学检查,主要抚养者MP-IgM检测可作为早期诊断及治疗依据之一,对MP-IgM阴性者如治疗效果不佳,可再次复查。
Objective To observe the clinical features and treatment of Mycoplasma pneumoniae pneumonia in infants. Methods The clinical data of 86 infants with Mycoplasma pneumoniae Mycoplasma pneumonia admitted to the hospital from October 2008 to September 2010 in Tongzhou District People’s Hospital of Nantong City, Jiangsu Province were retrospectively analyzed. Results 86 cases of acute onset (90.70%), clinical symptoms and chest X-ray examination were nonspecific, most of the recent main supporters have Mycoplasma pneumoniae infection, azithromycin treatment positive effect, for this group of infants, azithromycin treatment No obvious adverse reactions. Conclusions There is no specific clinical symptoms and signs of Mycoplasma pneumoniae pneumonia in infancy, and infant pneumonia should pay attention to the etiological examination. The MP-IgM test can be used as one of the early diagnosis and treatment basis for the patients with MP-IgM negative, , Can be reviewed again.