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目的探究婴幼儿肺炎支原体(MP)临床肺炎诊断出现误诊的原因以及病种。方法选自本院2010~2012年收治的24例经MP IgM进行诊断并确诊为MP肺炎的婴幼患儿,对其临床资料以回顾性的方法进行分析,归纳临床出现误诊的主要影响因素。结果本次纳入研究的MP肺炎患儿,早期被误诊的疾病分别为细菌/病毒性肺炎、上呼吸道感染/支气管炎、心肌炎/秋季腹泻、心肌炎以及关节炎等。结论在临床上MP肺炎患儿的临床表现复杂多样,特别是早期的时候患儿不会有明显的特异性表现,对患儿进行及时的MPIgM检测诊断,能够提高其临床诊断正确率,尽早对患儿进行对症治疗,最大程度降低误诊误治的现象,缩短患儿病程,具有重要的临床意义。
Objective To investigate the causes and types of misdiagnosis of clinical pneumonia in infantile Mycoplasma pneumoniae (MP). Methods Twenty-four infants and young children diagnosed as MP pneumonia by MP IgM from 2010 to 2012 in our hospital were retrospectively analyzed, and the main influencing factors of clinical misdiagnosis were summarized. Results The children with MP pneumonia were included in the study. The early misdiagnosed diseases were bacterial / viral pneumonia, upper respiratory tract infection / bronchitis, myocarditis / autumn diarrhea, myocarditis and arthritis. Conclusion The clinical manifestations of children with MP pneumonia are complex and diverse. Especially in early stage, there is no obvious specific manifestation in children. The prompt diagnosis and diagnosis of MPIgM in children can improve the correct rate of clinical diagnosis. Children symptomatic treatment, to minimize the misdiagnosis and mistreatment, shorten the duration of children, has important clinical significance.