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目的探讨小儿支原体肺炎的临床表现及特点,提高其诊断及治疗水平。方法采集我科2007年1月—2009年1月住院的支原体肺炎256例进行临床资料分析。结果①1 839例2个月～13岁住院社区获得性肺炎(CAP)患儿,肺炎支原体256例(13.92%),其中<3岁58例(22.66%),≥3岁198例(77.34%)。②发热伴刺激性咳嗽219例(85.55%);X线胸片:双肺大片或絮状阴影者185例(72.27%);渗出性胸膜炎14例(5.47%),有肺外合并症106例(41.40%);酶联免疫吸附试验(ELISA)检测血清MP-IgM阳性234例(91.41%)。③所有患儿用阿奇霉素、红霉素治疗均有良好效果。结论小儿肺炎支原体肺炎多见于较大儿童,ELISA血清MP-IgM阳性率高,有利于早期诊断。大环内脂类抗生素对肺炎支原体肺炎疗效好。
Objective To investigate the clinical manifestations and characteristics of pediatric mycoplasma pneumonia and to improve its diagnosis and treatment. Methods A total of 256 cases of Mycoplasma pneumonia admitted from January 2007 to January 2009 in our department were collected for clinical data analysis. Results ① There were 256 children (13.92%) with mycoplasma pneumonia who were hospitalized in community-acquired pneumonia (CAP) in 1839 cases from 2 months to 13 years old, of which 58 cases (22.66%) under 3 years old and 198 cases (77.34% . ② fever with irritating cough in 219 cases (85.55%); X-ray: 185 cases of large lung or flaky shadows (72.27%); exudative pleurisy in 14 cases (5.47%), with extrapulmonary complication 106 Cases (41.40%); 234 cases (91.41%) were positive for MP-IgM detected by enzyme-linked immunosorbent assay (ELISA). ③ all children with azithromycin, erythromycin treatment have a good effect. Conclusions Mycoplasma pneumoniae pneumonia is more common in larger children. The positive rate of MP-IgM in ELISA serum is high, which is good for early diagnosis. Macrolide antibiotics have a good effect on Mycoplasma pneumoniae pneumonia.