中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
6期
26-27
,共2页
大叶性肺炎%儿童%肺炎支原体
大葉性肺炎%兒童%肺炎支原體
대협성폐염%인동%폐염지원체
Lobar pneumonia%Children%Mycoplasma
目的 分析儿童大叶性肺炎的临床特征,指导临床治疗.方法 对85例大叶性肺炎病例进行回顾性分析.结果 ①学龄儿童多见(64.7%),幼儿亦非少见(35.3%);②发热(100%)、咳嗽(98.82%)为主要临床表现,多为高热(T＞39 ℃)(83.53%);早期多为干咳,病程中出现咳痰(78.82%);③痰培养阳性9例(阳性率23.08%);血培养阳性5例(阳性率9.43%);血清肺炎支原体抗体(MP-IgM)阳性51例(阳性率64.56%);白细胞计数64.71%在正常范围.结论 大叶性肺炎病原种类多样,临床表现不典型,应加强实验室检查,及早明确诊断,合理治疗;MP感染引起的大叶性肺炎发病率有上升趋势,应引起重视.
目的 分析兒童大葉性肺炎的臨床特徵,指導臨床治療.方法 對85例大葉性肺炎病例進行迴顧性分析.結果 ①學齡兒童多見(64.7%),幼兒亦非少見(35.3%);②髮熱(100%)、咳嗽(98.82%)為主要臨床錶現,多為高熱(T＞39 ℃)(83.53%);早期多為榦咳,病程中齣現咳痰(78.82%);③痰培養暘性9例(暘性率23.08%);血培養暘性5例(暘性率9.43%);血清肺炎支原體抗體(MP-IgM)暘性51例(暘性率64.56%);白細胞計數64.71%在正常範圍.結論 大葉性肺炎病原種類多樣,臨床錶現不典型,應加彊實驗室檢查,及早明確診斷,閤理治療;MP感染引起的大葉性肺炎髮病率有上升趨勢,應引起重視.
목적 분석인동대협성폐염적림상특정,지도림상치료.방법 대85례대협성폐염병례진행회고성분석.결과 ①학령인동다견(64.7%),유인역비소견(35.3%);②발열(100%)、해수(98.82%)위주요림상표현,다위고열(T＞39 ℃)(83.53%);조기다위간해,병정중출현해담(78.82%);③담배양양성9례(양성솔23.08%);혈배양양성5례(양성솔9.43%);혈청폐염지원체항체(MP-IgM)양성51례(양성솔64.56%);백세포계수64.71%재정상범위.결론 대협성폐염병원충류다양,림상표현불전형,응가강실험실검사,급조명학진단,합리치료;MP감염인기적대협성폐염발병솔유상승추세,응인기중시.
Objective To investigate the clinical characters of lobar pneumonia in children for reference of clinical strategy. Methods The clinical datas of 85 lobar pneumonia patients that were diagnosed and treated from July 2003 to July 2009 were analyzed.Results ①The majority of them were school-age children, while young children were not rare; the rate was 64.7% and 35.3% respectively. ②Fever and cough were the main clinical manifestations, mostly for high fever; most of them had cough without sputum firstly, and then sputum occurred. ③The positive rate of sputum culture was 23.08%, 9.43% for blood culture, and 64.56% for MP-IgM in the serum; and white blood cell count was in the normal range in 64.71% patients.Conclusions The pathogen of lobar pneumonia was diverse, and clinical manifestations of lobar pneumonia were not typical. For making early diagnosis, clinical laboratory tests should be strengthened, then we could offer proper treatment.Lobar pneumonia caused by MP infection tendedtoincrease, calling for much more attention.
