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目的探讨肺炎支原体感染患儿的流行病学特点、临床表现、实验室诊断、治疗及预后。方法对180例确诊为肺炎支原体感染患儿的临床病例资料进行统计、分类、回顾性分析。结果肺炎支原体感染以年长儿感染居多,占总感染病例78.33%,婴幼儿感染仅占总感染病例21.67%;肺炎支原体感染全年均有发病,但冬、春寒冷季节发病率更高一些;临床表现以呼吸系统表现为主,也存在多样化肺外表现;大环内酯类治疗效果显著;患儿预后好。结论临床儿科医生应高度警惕和重视肺炎支原体感染,尽最大努力做到早诊断、早治疗。
Objective To investigate the epidemiological characteristics, clinical manifestations, laboratory diagnosis, treatment and prognosis of children with Mycoplasma pneumoniae infection. Methods The clinical data of 180 cases diagnosed as Mycoplasma pneumoniae infection were statistically analyzed, classified and retrospectively analyzed. Results Mycoplasma pneumoniae infection was most common in older children, accounting for 78.33% of the total cases and infants and young children only accounting for 21.67% of the total cases. Mycoplasma pneumoniae infection all year round, but the morbidity in winter and spring was higher. Clinical manifestations of respiratory manifestations, there are also diverse pulmonary manifestations; macrolide treatment is significant; children with good prognosis. Conclusion Clinical pediatricians should be highly vigilant and pay attention to Mycoplasma pneumoniae infection, try their best to make early diagnosis and early treatment.