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目的探讨小儿肺炎支原体肺炎(MMP)的发病特点、临床表现及治疗方法,进一步明确此症的诊断与治疗。方法回顾性分析49例肺炎支原体肺炎患儿的临床资料。结果 49例支原体肺炎中平均发病年龄3岁10个月,发热38例,喘息性咳嗽20例,刺激性咳嗽18例,阵发性咳嗽11例,合并肺外并发症24例,所有患儿应用阿奇霉素及对症治疗,治疗效果良好,平均住院天数8.5 d。结论 MPP发病年龄有提前的趋势,婴幼儿发病率明显增多,以发热、喘息性及刺激性咳嗽为主,病情较重,肺外表现多样化,要根据不同年龄阶段的具体临床特点实施治疗。
Objective To investigate the incidence, clinical manifestations and treatment of children with Mycoplasma pneumoniae pneumonia (MMP) and further confirm the diagnosis and treatment of this disease. Methods The clinical data of 49 cases of Mycoplasma pneumoniae pneumonia were retrospectively analyzed. Results The average age of mycoplasma pneumonia in 49 cases was 3 years and 10 months. There were 38 cases of fever, 20 cases of wheezing cough, 18 cases of irritating cough, 11 cases of paroxysmal cough and 24 cases of extrapulmonary complication. Azithromycin and symptomatic treatment, the treatment effect is good, the average hospitalization days 8.5 d. Conclusions The age of onset of MPP has an earlier trend. The incidence of infants and young children is obviously increased. The incidence of MPP is mainly fever, wheezing and irritating cough, the disease is serious and the extrapulmonary manifestations are diversified. The treatment should be based on the specific clinical features of different age stages.