CAJ | 학술논문

目的研究小儿肺炎支原体(MP)肺炎的临床特点,提高对小儿肺炎支原体肺炎的临床认识和诊治水平. 方法对65例确诊为MP肺炎住院患儿的临床特点进行总结和分析. 结果本组病例以学龄前及学龄期儿童多见.6岁以下38例,6岁以上27例,全部病例均有不同程度的发热伴有剧烈咳嗽,早期无明显阳性体征,肺外并发症多,血清MP-IgM检测均为阳性.胸部X线检查均有不同程度病变,所有病例使用大环内酯类药物治疗有效.结论支原体肺炎可累及婴幼儿及较大儿童,除引起呼吸系统病变外还可引起多系统、多器官的肺外并发症,血清学检测为诊断的主要手段,MP-IgM尤为重要,大环内酯类抗生素是有效治疗药物.
목적 연구소인폐염지원체(MP)폐염적림상특점,제고대소인폐염지원체폐염적림상인식화진치수평. 방법 대65례학진위MP폐염주원환인적림상특점진행총결화분석. 결과 본조병례이학령전급학령기인동다견.6세이하38례,6세이상27례,전부병례균유불동정도적발열반유극렬해수,조기무명현양성체정,폐외병발증다,혈청MP-IgM검측균위양성.흉부X선검사균유불동정도병변,소유병례사용대배내지류약물치료유효.결론 지원체폐염가루급영유인급교대인동,제인기호흡계통병변외환가인기다계통、다기관적폐외병발증,혈청학검측위진단적주요수단,MP-IgM우위중요,대배내지류항생소시유효치료약물.
Objective To know the traits of mycoplasmal pneumonia in infant and children so as to improve the diagnosis and treatment. Methods Used the retrospective method to analyze the 65 in-patient cases of mycoplasmal pneumonia. Results For all the cases,the children main at Preschool and School-age,38 were Less than 6 years old and 27 were at the other side.They were all had fever and severe cough in varying degrees, no-typical clinical characters in the early, with many extra-pulmonary complications, and the positive MP-IgM of serum.All the pulmonary X-ray changes in some extent. The same they showed good respone to Macrolides.Conclusion:Mycoplasma pneumoniae pneumoni may attack infants and children,lead respiratory diseases Except for many systems and multiple organ changes, Serological detection shoude be the main diagnostic tool,especially MP-IgM. Macrolide antibiotics are effective treatments.