中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
21期
23-24
,共2页
肺炎支原体%大叶性肺炎%儿童
肺炎支原體%大葉性肺炎%兒童
폐염지원체%대협성폐염%인동
Mycoplasma pneumoniae%Lobar pneumonia%Child
目的 探讨肺炎支原体感染致大叶性肺炎的临床特征.方法 对2011年9月至2012月2月在滨州市人民医院诊治的肺炎支原体感染致大叶性肺炎33例患儿的临床资料进行分析.结果 肺炎支原体感染致大叶性肺炎发病年龄以学龄期儿童多见,症状重,以咳嗽、发热多见；体征轻,以闻及干哆音、呼吸音粗或呼吸音低为多；胸部影像学改变明显,尤以右下叶大片状密度增高影为多；肺炎支原体lgM抗体早期可不升高.结论 肺炎支原体感染致大叶性肺炎应结合患儿的临床表现及肺部体征进行X射线检查以及实验室检查,明确诊断,及早治疗.
目的 探討肺炎支原體感染緻大葉性肺炎的臨床特徵.方法 對2011年9月至2012月2月在濱州市人民醫院診治的肺炎支原體感染緻大葉性肺炎33例患兒的臨床資料進行分析.結果 肺炎支原體感染緻大葉性肺炎髮病年齡以學齡期兒童多見,癥狀重,以咳嗽、髮熱多見；體徵輕,以聞及榦哆音、呼吸音粗或呼吸音低為多；胸部影像學改變明顯,尤以右下葉大片狀密度增高影為多；肺炎支原體lgM抗體早期可不升高.結論 肺炎支原體感染緻大葉性肺炎應結閤患兒的臨床錶現及肺部體徵進行X射線檢查以及實驗室檢查,明確診斷,及早治療.
목적 탐토폐염지원체감염치대협성폐염적림상특정.방법 대2011년9월지2012월2월재빈주시인민의원진치적폐염지원체감염치대협성폐염33례환인적림상자료진행분석.결과 폐염지원체감염치대협성폐염발병년령이학령기인동다견,증상중,이해수、발열다견；체정경,이문급간치음、호흡음조혹호흡음저위다；흉부영상학개변명현,우이우하협대편상밀도증고영위다；폐염지원체lgM항체조기가불승고.결론 폐염지원체감염치대협성폐염응결합환인적림상표현급폐부체정진행X사선검사이급실험실검사,명학진단,급조치료.
Objective To investigate the clinical characteristics of lobar pneumonia caused by mycoplasma pneumoniae infection.Methods The clinical data of 33 cases of lobar pneumonia caused by mycoplasma pneumoniae infection in Binzhou people' s hospital from September 2011 to February 2012 were analyzed retropectively.Results The majority of patients were school children.The clinical symptoms were severe and the common clinical symptoms were fever and cough.The physical signs were not typical and the common physical signs were dry rales or coarse breath sound or decreased breath sound.The common thoracic imaging changes were obvious and mostly were large patches of dense shadow in right lower lung.Mycoplasma pneumoniae IgM,antibody didn' t risein early stage.Conclusions Lobar pneumonia caused by mycoplasma pmeumoniae in children should be diagnosed by the clinical manifestations and pulmonary signs,X-ray examination and laboratory tests,and early treated.
