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目的:探讨成人肺炎支原体感染的临床特点。方法:对30例成人肺炎支原体感染患者的临床资料进行回顾性分析。结果:本组患者多以咳嗽伴/或发热为首发症状,大多表现为顽固的阵发性咳嗽,部分患者出现肌痛,关节痛,恶心、呕吐、腹泻等肺外症状。肺部X线片表现多样缺乏特异性,血中支原体抗体(MP~IgM)检测有意义。30例经阿奇霉素贯序治疗后,治愈24例,显效6例,总有效率为100%,无后遗症。结论:掌握成人肺炎支原体感染的临床特点是正确诊治的关键。
Objective: To investigate the clinical features of adult Mycoplasma pneumoniae infection. Methods: The clinical data of 30 patients with mycoplasma pneumoniae infection were retrospectively analyzed. Results: Most of the patients with cough with fever or fever as the first symptom, mostly manifested as stubborn paroxysmal cough, some patients with myalgia, joint pain, nausea, vomiting, diarrhea and other extra-pulmonary symptoms. Pulmonary X-ray showed a variety of non-specific specificity, the blood of Mycoplasma antibodies (MP ~ IgM) detection of significance. Thirty cases were treated by azithromycin, 24 cases were cured, 6 cases markedly effective, the total effective rate was 100%, no sequelae. Conclusion: To master the clinical features of mycoplasma pneumoniae infection is the key to correct diagnosis and treatment.