CAJ | 학술논문

目的：探讨小儿重症肺炎支原体肺炎（MPP）的临床特点及治疗效果，提高诊治水平。方法对72例MPP 患儿的临床特点和治疗效果进行回顾性分析。结果患儿临床多表现为咳嗽，持续高热，喘息，均伴有不同程度的并发症和肺外症状，胸片多显示大叶性肺炎，采取药物联合治疗方案，临床治愈率为93.1%。结论小儿 MPP病情重，病程长，大环内酯类药物联合应用糖皮质激素、免疫球蛋白和布地奈德气雾剂治疗临床效果显著。
목적：탐토소인중증폐염지원체폐염（MPP）적림상특점급치료효과，제고진치수평。방법대72례MPP 환인적림상특점화치료효과진행회고성분석。결과환인림상다표현위해수，지속고열，천식，균반유불동정도적병발증화폐외증상，흉편다현시대협성폐염，채취약물연합치료방안，림상치유솔위93.1%。결론소인 MPP병정중，병정장，대배내지류약물연합응용당피질격소、면역구단백화포지내덕기무제치료림상효과현저。
Objective:To explore the clinical characteristics,therapeutic effect of children's servere mycoplasma pneu-monia(MPP)and improve the treatment. Methods:Clinical data of 72 children with servere mycoplasma pneumonia were retrospectively analyzed. Results:Coughing,persistent fever and asthma were the most common clinical manifestations. All patients had varying degrees of complications and symptoms beyond the lung. Lobar pneumonia was the most common mani-festation of chest X-ray. The curative ratio was 93. 1% after being treated with combined drug regimen. Conclusion:Severe mycoplasma pneumonia is characterized by a serious disease and with a prolonged course. The clinical results are rather good with combined treatment of corticosteroids,immunoglobulin and budesonide pressurised inhalation solution.