齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2009年
14期
1671-1672
,共2页
肺炎支原体%抗体%测定%希舒美
肺炎支原體%抗體%測定%希舒美
폐염지원체%항체%측정%희서미
Mycoplasma pneumonia Antibody Determination Zithromax
目的 探讨临床诊断和抗体效价测定及诊断性治疗联合分析在肺炎支原体感染早期诊治中应用的意义.方法 对东莞市莞城医院儿科381例住院患儿中首次临床诊断为肺炎支原体感染病例,均作肺炎支原体抗体效价测定及希舒美诊断性治疗,并分析抗体效价测定阳性及希舒美诊断性治疗有效率.结果 381例住院患儿肺炎支原体抗体效价测定阳性为103例,阳性率为27%,阴性率为73%.希舒美治疗有效共312例,有效率为81.9%,无效率为18.1%.对临床诊断为支原体感染同时抗体效价阳性的103例中,希舒美治疗有效为93例,有效率为90.3%.抗体效价测定为阴性的278例中,希舒美治疗有效为219例,有效率为78.8%.结论 临床诊断成立、抗体效价测定阳性及诊断性治疗有效三者中只要其中两者成立,可从临床上诊断肺炎支原体感染,为肺炎支原体感染的早期诊断提供一个新的重要参考方法.
目的 探討臨床診斷和抗體效價測定及診斷性治療聯閤分析在肺炎支原體感染早期診治中應用的意義.方法 對東莞市莞城醫院兒科381例住院患兒中首次臨床診斷為肺炎支原體感染病例,均作肺炎支原體抗體效價測定及希舒美診斷性治療,併分析抗體效價測定暘性及希舒美診斷性治療有效率.結果 381例住院患兒肺炎支原體抗體效價測定暘性為103例,暘性率為27%,陰性率為73%.希舒美治療有效共312例,有效率為81.9%,無效率為18.1%.對臨床診斷為支原體感染同時抗體效價暘性的103例中,希舒美治療有效為93例,有效率為90.3%.抗體效價測定為陰性的278例中,希舒美治療有效為219例,有效率為78.8%.結論 臨床診斷成立、抗體效價測定暘性及診斷性治療有效三者中隻要其中兩者成立,可從臨床上診斷肺炎支原體感染,為肺炎支原體感染的早期診斷提供一箇新的重要參攷方法.
목적 탐토림상진단화항체효개측정급진단성치료연합분석재폐염지원체감염조기진치중응용적의의.방법 대동완시완성의원인과381례주원환인중수차림상진단위폐염지원체감염병례,균작폐염지원체항체효개측정급희서미진단성치료,병분석항체효개측정양성급희서미진단성치료유효솔.결과 381례주원환인폐염지원체항체효개측정양성위103례,양성솔위27%,음성솔위73%.희서미치료유효공312례,유효솔위81.9%,무효솔위18.1%.대림상진단위지원체감염동시항체효개양성적103례중,희서미치료유효위93례,유효솔위90.3%.항체효개측정위음성적278례중,희서미치료유효위219례,유효솔위78.8%.결론 림상진단성립、항체효개측정양성급진단성치료유효삼자중지요기중량자성립,가종림상상진단폐염지원체감염,위폐염지원체감염적조기진단제공일개신적중요삼고방법.
Objective To evaluate the efficacy of determination of antibody titer combined with diagnostic treatment in the treatment of early stage of mycoplasma pneumonia. Methods Determination of antibody titer and diagnostic treatment were performed in 381 patients with mycoplasma pneumonia in Guancheng Hospital of Dongguan. Results The positive rate of antibody titer was 27%; the effective rate of Zithromax was 81.9% (312/381). In 103 patients with positive antibody titer and clinical diagnosis, the effective rate of Zithromax was 90.3%(93/381). In 278 patients with negative antibody titer,the effective rate of Zithromax was 78.8% (219/381). Conculusions Among clinical diagnosis, positive antibody titer and diagnostic treatment, if the patient conforms to two of them, the diagnosis could be established; it is helpful for the early diagnosis of mycoplasma pneumonia.