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目的探讨重症支原体肺炎的诊断和治疗。方法总结2008年1月至2010年3月我院收治的30例重症支原体肺炎患儿临床特征以及诊治过程。结果在30例重症支原体肺炎患儿中,所有患儿均有发热、咳嗽,气促5例,喘息6例,胸痛5例,肺部有阳性体征17例。所有患儿均有肺部异常X线平片和CT改变、红细胞沉降率增高以及C反应蛋白增高。结论肺炎支原体可引起重症肺炎,对于临床上有上述表现的重症肺炎,应考虑到重症支原体肺炎的可能性。根据发病机制,对重症支原体肺炎患儿除应用大环内酯类抗生素外,可并用肾上腺皮质激素和大剂量丙种球蛋白。
Objective To investigate the diagnosis and treatment of severe mycoplasma pneumonia. Methods From January 2008 to March 2010 in our hospital admitted 30 cases of severe mycoplasma pneumonia in children with clinical features and diagnosis and treatment process. Results In 30 children with severe mycoplasma pneumonia, all children had fever, cough, shortness of breath in 5 cases, wheezing in 6 cases, chest pain in 5 cases and lungs with positive signs in 17 cases. All children had abnormal lung X-ray and CT changes, increased erythrocyte sedimentation rate and C-reactive protein increased. Conclusions Mycoplasma pneumoniae can cause severe pneumonia. For patients with severe pneumonia who have the above clinical manifestations, the possibility of severe mycoplasma pneumonia should be considered. According to the pathogenesis of severe mycoplasma pneumonia in children with the addition of macrolide antibiotics, the adrenal cortex hormones and high doses of gamma globulin.