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目的:探讨小儿肺炎支原体肺炎的临床特点。方法:以“小儿”、“肺炎支原体”、“肺炎”为关键词搜索万方、中国知网文献,共收集16篇文献,符合小儿肺炎支原体肺炎的患儿共计360例,其中男性190例,女性140例。年龄8月~12岁,平均年龄4.1±1.9岁。收集患儿临床表现,实验室指标(血常规、血清MP抗体、C反应蛋白、血沉、肝、肾功能、全胸片、呼吸道病原学)等结果。结果:234(65%)例白细胞正常,96(26.7%)例计数升高,30(8.3%)例计数降低。双份血清IgM增高者共201(55.8%)例,单份血清增高者共41(11.4%)例。所有患儿给予阿奇霉素抗感染,部分患儿病情危重联合使用甲基拨尼松。结论:小儿肺炎支原体肺炎临床表现不典型,特异性不强,治疗方案以阿奇霉素为主。
Objective: To investigate the clinical features of Mycoplasma pneumoniae pneumonia in children. Methods: A total of 16 articles were collected from 16 children with Mycoplasma pneumoniae pneumonia and 360 children with Mycoplasma pneumoniae mycoplasma pneumonia were searched by keyword “Mycoplasma pneumoniae” and “Pneumonia” Including 190 males and 140 females. Aged from August to 12 years, with an average age of 4.1 ± 1.9 years. The clinical manifestations of children, laboratory parameters (blood routine, serum MP antibody, C-reactive protein, erythrocyte sedimentation rate, liver and renal function, total chest radiograph, respiratory aetiology) were collected. Results: 234 (65%) cases of normal white blood cells, 96 (26.7%) cases increased, 30 (8.3%) cases decreased. There were 201 (55.8%) cases with double serum IgM increase, and 41 (11.4%) cases with single serum increase. All children given azithromycin anti-infection, some children in critical condition combined with methyl-prednisone. Conclusion: The clinical manifestations of Mycoplasma pneumoniae mycoplasma pneumonia are not typical, the specificity is not strong, the treatment plan is azithromycin.