CAJ | 학술논문

目的：对儿童重症肺炎支原体肺炎的临床特点和预后进行分析与研究。方法：随机选取2013年7月～2014年7月于本院诊治的105例儿童支原体肺炎（MPP）患者的临床资料进行回顾性分析，其中52例为重症患者（研究组），53例为轻症患者（对照组），比较两组临床特点及预后情况。结果：对照组呼吸困难、心动过速、三凹征、平均热程均显著优于研究组，有统计学意义（P＜0.05）；研究组胸部影象显示大片状类型94.23%，显著高于对照组1.87%，且斑片或云絮状5.77%，显著低于对照组98.13%（P＜0.05）；随访8例重症患者中，存在1（12.50%）例并发支气管扩张。结论：对于儿童重症肺炎 MPP，临床需予以高度重视并尽早进行治疗，以防止疾病蔓延造成不良的不利后果。
목적：대인동중증폐염지원체폐염적림상특점화예후진행분석여연구。방법：수궤선취2013년7월～2014년7월우본원진치적105례인동지원체폐염（MPP）환자적림상자료진행회고성분석，기중52례위중증환자（연구조），53례위경증환자（대조조），비교량조림상특점급예후정황。결과：대조조호흡곤난、심동과속、삼요정、평균열정균현저우우연구조，유통계학의의（P＜0.05）；연구조흉부영상현시대편상류형94.23%，현저고우대조조1.87%，차반편혹운서상5.77%，현저저우대조조98.13%（P＜0.05）；수방8례중증환자중，존재1（12.50%）례병발지기관확장。결론：대우인동중증폐염 MPP，림상수여이고도중시병진조진행치료，이방지질병만연조성불량적불리후과。
Objective: To analyze and study the clinical characteristics and prognosis of severe pediatric mycoplasma pneumonia. Methods: Medical information of 105 cases with severe pediatric mycoplasma pneumonia in our hospital from July,2013 to July,2014 were randomly selected and retrospectively analyzed,52 cases of severe diseases( the research group ) and 53 cases of slight diseases ( the control group ),the clinical features and prognosis of the two groups were compared. Results: The degrees of dyspnea,tachycardia,three Heartbeat concave syndrome,average duration of fever in the control group were superior to those of the research group with statistical significance(P<0.05); in the research group,the big cloud shape accounted for 94.23%,significantly higher than that of the control group 1.87%; the patch or cloud wadding shape accounted for 5.77%,markedly lower than that of the control group 98.13%(P<0.05); 8 cases of severe cases were followed up,one case(12.50%)complicated with bronchiectasis. Conclusion: For severe pediatric mycoplasma pneumonia, higher attention should be taken in order to prevent the spread of the disease caused by the adverse consequences.