中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
1期
6-7
,共2页
肺炎%支原体%混合感染%黄冈市城区%儿童
肺炎%支原體%混閤感染%黃岡市城區%兒童
폐염%지원체%혼합감염%황강시성구%인동
Pneumonia%Mycoplasma%Mixed infection%Huanggang city%Children
目的:探讨支原体混合感染肺炎患儿的治疗措施及临床疗效.方法:本文选取了我院儿科病房2010年2月~2012年2月收住院治疗的106例MP肺炎病例,对患者进行标本采集和病毒检测,并对其临床表现和治疗进行分析.结果:支原体混合感染性肺炎均有咳嗽症状,部分患儿还存在发烧的情况.不同年龄段患儿支原体混合感染的肺炎的种类有所不同.106例MP肺炎患儿中有56例合并了其病原体感染(52.8%),其中合并病毒感染25例(23.6%),合并肺炎衣原体感染16例(15.1%),合并细菌感染15例(13.2%).检查出的病毒中,呼吸道合胞病毒10例(9.4%),副流感病毒1型8例(7.5%),腺病毒5例(5.7%),柯萨奇病毒1例(0.9%)、流感病毒A 1例(0.9%),流感病毒B、副流感病毒2型、副流感病毒3型未检出.痰培养阳性11例,分别是:肺炎克雷伯菌4例(3.8%)肺炎链球菌2例(1.9%),大肠埃希菌2例(1.9%),金黄色葡萄球菌2例(1.9%),鲍曼氏不动杆菌1例(0.9%),铜绿假单胞菌1例(0.9%).结论:MP合并其他病原体感染的儿童肺炎较单纯MP感染性肺炎症状更重,病程更长.在治疗方面,确诊MP 感染后,应尽快应用有特效的大环内酯类抗生素阿奇霉素治疗,如疗效不明显时,应考虑合并其他病原体感染,立即做病毒学检测、衣原体及痰培养检查,根据相应检查结果进一步治疗.
目的:探討支原體混閤感染肺炎患兒的治療措施及臨床療效.方法:本文選取瞭我院兒科病房2010年2月~2012年2月收住院治療的106例MP肺炎病例,對患者進行標本採集和病毒檢測,併對其臨床錶現和治療進行分析.結果:支原體混閤感染性肺炎均有咳嗽癥狀,部分患兒還存在髮燒的情況.不同年齡段患兒支原體混閤感染的肺炎的種類有所不同.106例MP肺炎患兒中有56例閤併瞭其病原體感染(52.8%),其中閤併病毒感染25例(23.6%),閤併肺炎衣原體感染16例(15.1%),閤併細菌感染15例(13.2%).檢查齣的病毒中,呼吸道閤胞病毒10例(9.4%),副流感病毒1型8例(7.5%),腺病毒5例(5.7%),柯薩奇病毒1例(0.9%)、流感病毒A 1例(0.9%),流感病毒B、副流感病毒2型、副流感病毒3型未檢齣.痰培養暘性11例,分彆是:肺炎剋雷伯菌4例(3.8%)肺炎鏈毬菌2例(1.9%),大腸埃希菌2例(1.9%),金黃色葡萄毬菌2例(1.9%),鮑曼氏不動桿菌1例(0.9%),銅綠假單胞菌1例(0.9%).結論:MP閤併其他病原體感染的兒童肺炎較單純MP感染性肺炎癥狀更重,病程更長.在治療方麵,確診MP 感染後,應儘快應用有特效的大環內酯類抗生素阿奇黴素治療,如療效不明顯時,應攷慮閤併其他病原體感染,立即做病毒學檢測、衣原體及痰培養檢查,根據相應檢查結果進一步治療.
목적:탐토지원체혼합감염폐염환인적치료조시급림상료효.방법:본문선취료아원인과병방2010년2월~2012년2월수주원치료적106례MP폐염병례,대환자진행표본채집화병독검측,병대기림상표현화치료진행분석.결과:지원체혼합감염성폐염균유해수증상,부분환인환존재발소적정황.불동년령단환인지원체혼합감염적폐염적충류유소불동.106례MP폐염환인중유56례합병료기병원체감염(52.8%),기중합병병독감염25례(23.6%),합병폐염의원체감염16례(15.1%),합병세균감염15례(13.2%).검사출적병독중,호흡도합포병독10례(9.4%),부류감병독1형8례(7.5%),선병독5례(5.7%),가살기병독1례(0.9%)、류감병독A 1례(0.9%),류감병독B、부류감병독2형、부류감병독3형미검출.담배양양성11례,분별시:폐염극뢰백균4례(3.8%)폐염련구균2례(1.9%),대장애희균2례(1.9%),금황색포도구균2례(1.9%),포만씨불동간균1례(0.9%),동록가단포균1례(0.9%).결론:MP합병기타병원체감염적인동폐염교단순MP감염성폐염증상경중,병정경장.재치료방면,학진MP 감염후,응진쾌응용유특효적대배내지류항생소아기매소치료,여료효불명현시,응고필합병기타병원체감염,립즉주병독학검측、의원체급담배양검사,근거상응검사결과진일보치료.
Objective:To investigate the therapeutic measures and clinical efficacy of Mycoplasma mixed infection in children with pneumonia.Methods:We selected the pediatric ward of our hospital from February 2010 to February 2012, 106 patients received hospital treatment MP pneumonia cases, the patient specimen collection and virus detection,analysis and its clinical manifestations and treatment. Results:Mycoplasma mixed infection pneumonia have cough, some children there is a fever.Different kind of different ages in children with mycoplasma pneumonia infection mixed.In 56 cases out of 106 cases of children with MP pneumonia merged its pathogen infection (52.8%),which merged virus infection in 25 cases (23.6%), combined Chlamydia pneumoniae infection in 16 cases (15.1%), with bacterial infection in 15 cases (13.2% ).Check out the virus,respiratory syncytial virus, 10 cases (9.4%), parainfluenza virus type 1 in 8 patients (7.5%),to adenovirus 5 patients (5.7%), Coxsackie virus in 1 case (0.9%), influenza virus A 1 (0.9%), influenza virus B, parainfluenza virus type 2, parainfluenza virus type 3 were not detected.Sputum culture was positive in 11 cases, respectively: 4 cases (3.8%) of Klebsiella pneumoniae Streptococcus pneumoniae in 2 cases (1.9%), Escherichia coli in 2 cases (1.9%), Staphylococcus aureus in 2 cases (1.9% ), Bowman Acinetobacter in 1 case (0.9%),Pseudomonas aeruginosa (0.9%).Conclusion:MP childhood pneumonia combined with other pathogens than a simple MP infectious pneumonia symptoms is heavier, duration longer.In terms of treatment, diagnosis of MP infection, should be applied as soon as possible the effects of the macrolide antibiotic azithromycin treatment, treatment was combined with other pathogens, done immediately virological testing, chlamydia and sputum culture examination should be considered, according to the corresponding inspection results further treatment.
