中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
30期
133-134
,共2页
小儿肺炎支原体肺炎%治疗%阿奇霉素
小兒肺炎支原體肺炎%治療%阿奇黴素
소인폐염지원체폐염%치료%아기매소
Mycoplasma pneumoniae pneumonia%Treatment%Azithromycin
目的：分析小儿肺炎支原体肺炎的临床诊断及治疗方法和效果。方法：2011年3月-2014年3月笔者所在医院收治的肺炎支原体肺炎患儿64例，对其临床资料进行回顾性分析。结果：64例肺炎支原体肺炎患儿实验室检查中外周血白细胞升高28.13%，外周血白细胞降低21.88%，血沉增快39.06%，心肌酶谱增高10.94%；X胸片检查中云雾状阴影54.69%，肺门周围炎37.50%，支气管炎7.81%；采用阿奇霉素序贯疗法治疗小儿肺炎支原体肺炎临床总有效率96.88%(62/64)。结论：小儿肺炎支原体肺炎的发病率较高，且临床表现不典型，需要通过临床症状、疾病史、实验室检查等进行确诊，在常规治疗基础上，采用阿奇霉素序贯疗法治疗可取得较好效果。
目的：分析小兒肺炎支原體肺炎的臨床診斷及治療方法和效果。方法：2011年3月-2014年3月筆者所在醫院收治的肺炎支原體肺炎患兒64例，對其臨床資料進行迴顧性分析。結果：64例肺炎支原體肺炎患兒實驗室檢查中外週血白細胞升高28.13%，外週血白細胞降低21.88%，血沉增快39.06%，心肌酶譜增高10.94%；X胸片檢查中雲霧狀陰影54.69%，肺門週圍炎37.50%，支氣管炎7.81%；採用阿奇黴素序貫療法治療小兒肺炎支原體肺炎臨床總有效率96.88%(62/64)。結論：小兒肺炎支原體肺炎的髮病率較高，且臨床錶現不典型，需要通過臨床癥狀、疾病史、實驗室檢查等進行確診，在常規治療基礎上，採用阿奇黴素序貫療法治療可取得較好效果。
목적：분석소인폐염지원체폐염적림상진단급치료방법화효과。방법：2011년3월-2014년3월필자소재의원수치적폐염지원체폐염환인64례，대기림상자료진행회고성분석。결과：64례폐염지원체폐염환인실험실검사중외주혈백세포승고28.13%，외주혈백세포강저21.88%，혈침증쾌39.06%，심기매보증고10.94%；X흉편검사중운무상음영54.69%，폐문주위염37.50%，지기관염7.81%；채용아기매소서관요법치료소인폐염지원체폐염림상총유효솔96.88%(62/64)。결론：소인폐염지원체폐염적발병솔교고，차림상표현불전형，수요통과림상증상、질병사、실험실검사등진행학진，재상규치료기출상，채용아기매소서관요법치료가취득교호효과。
Objective:To study the methods and effects of clinical diagnosis and treatment of Mycoplasma pneumoniae pneumonia.Method:The clinical data of 64 cases of mycoplasma pneumoniae pneumonia from March 2011 to March 2014 in our hospital was retrospective analysed.Result:64 cases of mycoplasma pneumoniae pneumonia were laboratory examination of peripheral,white blood cells increased in 28.13%or decreased in 21.88%,ESR increased in 39.06%and spectrum of myocardial enzymes increased in 10.94%,X chest radiograph in foggy shadows 54.69%,chest door inflammation around 37.50%,and the bronchitis was 7.81%,the azithromycin sequential therapy of mycoplasma pneumoniae pneumonia in children the total clinical efficacy rate was 96.88%(62/64). Conclusion:Mycoplasma pneumoniae pneumonia incidence is higher,and the clinical manifestation is not typical,need to be confirmed by the clinical symptoms,disease history,laboratory examination,in general on the basis of conventional therapy,the better effect of azithromycin sequential therapy desirable.
