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目的探讨社区获得性肺炎支原体肺炎(Mycoplasma pneumoniae pneumonia,MPP)儿童的肺外系统损害。方法对279例MPP儿童的肺外并发症进行回顾性分析,计算发生率。结果 279例MPP儿童中发生肺外并发症184例,发生率为65.9%。其中血液系统77例(27.6%),消化系统75例(26.9%),神经系统13例(4.6%),皮肤粘膜损害10例(3.6%),泌尿系统5例(1.8%),心血管系统4例(1.4%)。1个系统损害173例,2个系统损害10例,3个系统损害1例。结论MPP患儿肺外并发症发生率高,可累及全身各个系统,以血液系统最多见,预后较好。
Objective To investigate the extrapulmonary systemic damage in children with community-acquired Mycoplasma pneumoniae pneumonia (MPP). Methods 279 cases of MPP children with extrapulmonary complications were retrospectively analyzed, the incidence was calculated. Results Of the 279 MPP children, 184 cases of extrapulmonary complications occurred, the incidence rate was 65.9%. There were 77 cases (27.6%) of hematological system, 75 cases (26.9%) of digestive system, 13 cases of nervous system (4.6%), 10 cases of mucocutaneous lesions (3.6%), 5 cases of urinary system (1.8%), cardiovascular system 4 cases (1.4%). 173 cases were damaged in one system, 10 cases were damaged in 2 systems and 1 case was damaged in 3 systems. Conclusions The incidence of extrapulmonary complication in children with MPP is high and can affect all systems of the whole body. Most of them are seen in the blood system and their prognosis is good.