中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
9期
988-991
,共4页
郑秀芬%许亚茹%赵惠荣%邓红亮%王岩%于垚
鄭秀芬%許亞茹%趙惠榮%鄧紅亮%王巖%于垚
정수분%허아여%조혜영%산홍량%왕암%우요
儿童%肺炎支原体肺炎%流行病学%影像学
兒童%肺炎支原體肺炎%流行病學%影像學
인동%폐염지원체폐염%류행병학%영상학
Children%Mycoplasma pneumonia%Epidemiology%Imaging
目的 总结儿童肺炎支原体肺炎(MPP)的流行病学、临床及影像学特点.方法 回顾性分析2013年1-12月于我院普通儿科病房住院的201例MPP患者的临床资料.结果 住院期间共收治肺炎患儿412例,其中MPP 201例,占48.79％;不同年龄阶段MPP发病率不同(x2 =62.04,P＜0.05),学龄期患儿的发病率最高,占同年龄组肺炎患者的71.59％.不同月份患者的发病趋势不同,其中1、7、9、10、11月MPP的发病例数较多.主要临床表现为咳嗽201例(100％),发热136例(67.66％),湿罗音168例(83.58％),喘息58例(28.86％),部分患儿(23.38％)并发肺外症状;大部分MPP患儿血常规WBC无明显升高,＜10×109/L 136例(67.66％);hs-CRP正常(＜5 mg/L)及轻度升高(～10 mg/L)分别占36.32％、22.39％;影像学检查结果;两肺纹理增强64例,肺纹理模糊、点片状阴影73例,大叶性肺炎改变64例,胸腔积液3例.结论 临床医师需综合MPP的流行病学、临床及影像学特点实现MPP的早期诊断和治疗.
目的 總結兒童肺炎支原體肺炎(MPP)的流行病學、臨床及影像學特點.方法 迴顧性分析2013年1-12月于我院普通兒科病房住院的201例MPP患者的臨床資料.結果 住院期間共收治肺炎患兒412例,其中MPP 201例,佔48.79％;不同年齡階段MPP髮病率不同(x2 =62.04,P＜0.05),學齡期患兒的髮病率最高,佔同年齡組肺炎患者的71.59％.不同月份患者的髮病趨勢不同,其中1、7、9、10、11月MPP的髮病例數較多.主要臨床錶現為咳嗽201例(100％),髮熱136例(67.66％),濕囉音168例(83.58％),喘息58例(28.86％),部分患兒(23.38％)併髮肺外癥狀;大部分MPP患兒血常規WBC無明顯升高,＜10×109/L 136例(67.66％);hs-CRP正常(＜5 mg/L)及輕度升高(～10 mg/L)分彆佔36.32％、22.39％;影像學檢查結果;兩肺紋理增彊64例,肺紋理模糊、點片狀陰影73例,大葉性肺炎改變64例,胸腔積液3例.結論 臨床醫師需綜閤MPP的流行病學、臨床及影像學特點實現MPP的早期診斷和治療.
목적 총결인동폐염지원체폐염(MPP)적류행병학、림상급영상학특점.방법 회고성분석2013년1-12월우아원보통인과병방주원적201례MPP환자적림상자료.결과 주원기간공수치폐염환인412례,기중MPP 201례,점48.79％;불동년령계단MPP발병솔불동(x2 =62.04,P＜0.05),학령기환인적발병솔최고,점동년령조폐염환자적71.59％.불동월빈환자적발병추세불동,기중1、7、9、10、11월MPP적발병례수교다.주요림상표현위해수201례(100％),발열136례(67.66％),습라음168례(83.58％),천식58례(28.86％),부분환인(23.38％)병발폐외증상;대부분MPP환인혈상규WBC무명현승고,＜10×109/L 136례(67.66％);hs-CRP정상(＜5 mg/L)급경도승고(～10 mg/L)분별점36.32％、22.39％;영상학검사결과;량폐문리증강64례,폐문리모호、점편상음영73례,대협성폐염개변64례,흉강적액3례.결론 림상의사수종합MPP적류행병학、림상급영상학특점실현MPP적조기진단화치료.
Objective To summarize the characteristics of epidemiology,clinic and radiography of mycoplasma pneumoniae pneumonia(MPP) in children.Methods Two hundred and one MPP patients were selected as our subjects who hospitalized in Kailuan General Hospital Affiliated to Hebei United University from Jan.to Dec.2013.All clinical data were recorded.Results Of 412 children with pneumonia,201 children were developed MPP(48.97％).There was significant difference among different age groups regarding of MPP incidence rate(x2 =62.04,P ＜ 0.05),and the highest incidence was in school-age group(71.59％).There was significant difference among the different month,and the MPP cases were more occurred at January,July,September,October and November.The main clinical manifestations were cough (201cases,100％),fever(136 cases,67.66％),moist rales (168 cases,83.58％),breathing (58 casses,28.86％).And parts of children (23.38％) were complicated with extra pulmonary symptoms.The blood WBC of most MPP patients were without obvious increase and blood WBC of 136 cases(67.66％) was less than 10 × 109/L.The cases with hsCRP (＜ 5 mg/L or-10 mg/L) accounted for 36.32％ or 22.39％.Imaging examination results showed that 64 cases were with bronchovascular shadow,73 cases with spot and schistic shadow,64 cases with lobar pneumonia and 3 cases with pleural effusion.Conclusion Clinicians sholud make the early diagnosis and treatment of MPP based on epidemiology,clinical and image comprehensive characteristics of MPP.
