CAJ | 학술논문

目的：分析天津市某中学住校班级暴发的一起肺炎支原体肺炎（Mycoplasma pneumonia，MP）的流行病学和临床特点，加强对肺炎支原体感染具有聚集、暴发流行性的认识，提高支原体肺炎早期的诊治水平。方法2013年4月至2013年5月收治12例社区获得性肺炎（community-acquired pneumonia，CAP）患者，分析、总结其临床特点及诊断治疗。结果发病年龄为16~44岁，住院治疗7例，门急诊治疗5例，持续发热5~7 d，症状普遍为干咳、少痰，伴有胸痛1例，皮肤斑丘疹2例，肺炎支原体 IgM 抗体阳性7例（58.3%），根据CAP 分层治疗原则，给予β内酰胺类抗生素加大环内脂类抗生素或呼吸喹诺酮类治疗，退热时间（2.91±1.44）d，疗程为（10.41±1.16）d，所有患者均已康复。结论通过对上述病例的诊断、治疗，考虑本次 CAP 感染为一起肺炎支原体感染暴发，传播方式以飞沫传播为主，由于体质、气候等原因导致，建议加强学校等集体单位合理安排作息，注意环境卫生、个人卫生和防病意识的健康教育，有针对性地做好疾病的预防工作。
목적：분석천진시모중학주교반급폭발적일기폐염지원체폐염（Mycoplasma pneumonia，MP）적류행병학화림상특점，가강대폐염지원체감염구유취집、폭발류행성적인식，제고지원체폐염조기적진치수평。방법2013년4월지2013년5월수치12례사구획득성폐염（community-acquired pneumonia，CAP）환자，분석、총결기림상특점급진단치료。결과발병년령위16~44세，주원치료7례，문급진치료5례，지속발열5~7 d，증상보편위간해、소담，반유흉통1례，피부반구진2례，폐염지원체 IgM 항체양성7례（58.3%），근거CAP 분층치료원칙，급여β내선알류항생소가대배내지류항생소혹호흡규낙동류치료，퇴열시간（2.91±1.44）d，료정위（10.41±1.16）d，소유환자균이강복。결론통과대상술병례적진단、치료，고필본차 CAP 감염위일기폐염지원체감염폭발，전파방식이비말전파위주，유우체질、기후등원인도치，건의가강학교등집체단위합리안배작식，주의배경위생、개인위생화방병의식적건강교육，유침대성지주호질병적예방공작。
Objective To analyze the epidemiological and clinical features of Mycoplasma pneumoniae pneumonia (Mycoplasma pneumonia, MP) outbreak in a middle school campus in Tianjin,China, strengthen the understanding with aggregation, outbreaks of epidemic of pneumonia mycoplasma infection, improve the level of diagnosis and treatment of mycoplasma pneumonia in early stage. Methods From April 2013 to May 2013, 12 cases of community acquired pneumonia (community-acquired pneumonia, CAP) patients were treated in our hospital, analyzing, summarizing its clinical characteristics and diagnosis and treatment. Results The age of onset of 16~44 years, hospitalized in 7 cases, 5 cases of outpatient and emergency treatment. Symptoms were persistent fever, 5~7 d, dry cough, less sputum, 1 cases with chest pain, 2 cases of skin rash, mycoplasma pneumonia antibody-IgM positive in 7 cases (58.3%), according to the CAP hierarchical principle of treatment, giving β-lactam antibiotics and macrolides or respiratory fluroquinoloncs, Bring down a fever time of (2.91±1.44)d, period of treatment is (10.41±1.16)d, all patients were recovered. Conclusion On account of analyzing of the diagnosis, the cases of treatment, we considered that the CAP infection with Mycoplasma pneumoniae infection outbreak, spread mainly by respiratory droplets, due to physical, climate and other reasons, suggestions to strengthen schools and other collective units reasonable arrangements for work and rest, pay attention to the environmental health of health education, awareness of personal hygiene and disease prevention, targeted to do a good job of disease prevention.