中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
5期
773-774
,共2页
儿童%支原体肺炎%临床症状
兒童%支原體肺炎%臨床癥狀
인동%지원체폐염%림상증상
Children%mycoplasma pneumonia%Clinical symptoms
目的：分析患有肺炎支原体肺炎患儿的临床特点、影像学表现与治疗手段。方法：回顾性分析241例确诊为肺炎支原体肺炎在我院住院的患儿的临床病历资料。结果：肺炎支原体肺炎主要的临床症状为咳嗽及发热等；婴幼儿通常还伴有气短喘憋、听诊可闻及痰鸣音。影像学特征呈现多样性，主要为斑片状阴影时，以婴幼儿常见，主要为节段性、大片状阴影时，以学龄儿童多见。应用红霉素或者阿奇霉素治疗可获得很好的临床疗效；部分难治性支原体肺炎，在药物治疗同时联合应用糖皮质激素，仍可得到不错的临床疗效。结论：支原体肺炎具有临床表现和影像学表现不相符的特点，其中影像学表现缺乏特异性。早期规范应用大环内酯类药物及时治疗，可有效缓解临床表现、防止复发具有非常重要的临床意义。
目的：分析患有肺炎支原體肺炎患兒的臨床特點、影像學錶現與治療手段。方法：迴顧性分析241例確診為肺炎支原體肺炎在我院住院的患兒的臨床病歷資料。結果：肺炎支原體肺炎主要的臨床癥狀為咳嗽及髮熱等；嬰幼兒通常還伴有氣短喘憋、聽診可聞及痰鳴音。影像學特徵呈現多樣性，主要為斑片狀陰影時，以嬰幼兒常見，主要為節段性、大片狀陰影時，以學齡兒童多見。應用紅黴素或者阿奇黴素治療可穫得很好的臨床療效；部分難治性支原體肺炎，在藥物治療同時聯閤應用糖皮質激素，仍可得到不錯的臨床療效。結論：支原體肺炎具有臨床錶現和影像學錶現不相符的特點，其中影像學錶現缺乏特異性。早期規範應用大環內酯類藥物及時治療，可有效緩解臨床錶現、防止複髮具有非常重要的臨床意義。
목적：분석환유폐염지원체폐염환인적림상특점、영상학표현여치료수단。방법：회고성분석241례학진위폐염지원체폐염재아원주원적환인적림상병력자료。결과：폐염지원체폐염주요적림상증상위해수급발열등；영유인통상환반유기단천별、은진가문급담명음。영상학특정정현다양성，주요위반편상음영시，이영유인상견，주요위절단성、대편상음영시，이학령인동다견。응용홍매소혹자아기매소치료가획득흔호적림상료효；부분난치성지원체폐염，재약물치료동시연합응용당피질격소，잉가득도불착적림상료효。결론：지원체폐염구유림상표현화영상학표현불상부적특점，기중영상학표현결핍특이성。조기규범응용대배내지류약물급시치료，가유효완해림상표현、방지복발구유비상중요적림상의의。
Objective:The analysis of the clinical characteristics of people with mycoplasma pneumonia, imaging findings and treatment.Methods:A retrospective analysis of 241 cases diagnosed as Mycoplasma pneumoniae pneumonia in children in our hospital's clinical medical records.Results:Mycoplasma pneumoniae pneumonia clinical symptoms such as cough and fever;nfants and young children are usual y accompanied by shortness of breath, wheezing, auscultation could be heard and sputum.Showing the diversity of imaging features,Patchy shadow, common in infants and young children.Segmental, large patchy shadows, more common in school-age children.Erythromycin or azithromycin in the treatment available to the clinical efficacy;Part of the refractory Mycoplasma pneumoniae,Given the combination of glucocorticoids in the drug treatment at the same time,can stil get a good clinical efficacy.Conclusion:Mycoplasma pneumoniae has the characteristics of clinical presentation and imaging findings do not match,the imaging findings of a lack of specificity.Early specification of application macrolides timely treatment, which can effectively al eviate the clinical manifestations, and prevent the recurrence of a very important clinical significance.
