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目的探讨小儿肺炎支原体肺炎的临床表现及诊治方法。方法对136例确诊为支原体肺炎的住院患儿进行回顾性临床分析。结果本组共136例患儿,自1～16岁各个年龄段均有发病,以3～6岁为主,占61.8%。男71例,女65例。均表现咳嗽,发热122例,肺外表现8例;肺部阳性体征34例;胸片改变82例;白细胞正常64例,轻度增高42例,明显增高21例,降低9例;C反应蛋白正常75例,轻度增高53例,明显增高8例。本组经红霉素或阿奇霉素序贯疗法均临床痊愈出院。胸片改变72例复查好转,其余10例2周后门诊随访复查病灶吸收。结论小儿支原体肺炎临床有其特点,对肺炎患儿应注重肺炎支原体病原体检查,以尽早明确诊断并给予相应治疗,以期及早治愈,减少并发症风险。
Objective To investigate the clinical manifestations and diagnosis and treatment of Mycoplasma pneumoniae pneumonia in children. Methods A retrospective clinical analysis of 136 hospitalized children with mycoplasma pneumonia was performed. Results A total of 136 cases of children in this group, from 1 to 16 years of age all incidences, 3-6 years old, accounting for 61.8%. 71 males and 65 females. All of them showed cough, fever in 122 cases, extrapulmonary manifestations in 8 cases, pulmonary positive signs in 34 cases, chest radiographs in 82 cases, normal white blood cells in 64 cases, mild increase in 42 cases, significantly increased in 21 cases and decreased in 9 cases. C-reactive protein Normal 75 cases, mild increase in 53 cases, significantly increased in 8 cases. The group of erythromycin or azithromycin sequential therapy are clinically discharged. Changes in chest radiography 72 cases improved, the remaining 10 cases 2 weeks after the outpatient follow-up examination of lesions absorbed. Conclusion Mycoplasma pneumonia in children has its own clinical features, children with pneumonia should pay attention to mycoplasma pneumoniae pathogens to early diagnosis and appropriate treatment, with a view to early cure and reduce the risk of complications.