CAJ | 학술논문

目的总结呈大叶性肺炎改变的肺炎支原体性肺炎(MPP)的临床特征.方法对28例儿童MPP的临床表现、诊断、治疗效果进行回顾性分析.结果 MPP最常见的临床特征是咳嗽伴有发热.胸部X线片:28例均有肺叶、节段性大叶状密度增高影、肺实质浸润性病变;其中1例合并单侧胸腔积液,1例合并右侧肺不张.确定患儿MP-IgM阳性后,均给予红霉素、阿奇霉素序贯治疗.26例患儿症状控制后出院,2例转院.16例患儿于出院2周后复查胸片,病灶均吸收.结论临床上要注意MPP胸片改变的多样性,一般症状者可单纯应用大环内酯类药物,存在感染中毒症状者加用糖皮质激素治疗,效果较好.
목적 총결정대협성폐염개변적폐염지원체성폐염(MPP)적림상특정.방법 대28례인동MPP적림상표현、진단、치료효과진행회고성분석.결과 MPP최상견적림상특정시해수반유발열.흉부X선편:28례균유폐협、절단성대협상밀도증고영、폐실질침윤성병변;기중1례합병단측흉강적액,1례합병우측폐불장.학정환인MP-IgM양성후,균급여홍매소、아기매소서관치료.26례환인증상공제후출원,2례전원.16례환인우출원2주후복사흉편,병조균흡수.결론 림상상요주의MPP흉편개변적다양성,일반증상자가단순응용대배내지류약물,존재감염중독증상자가용당피질격소치료,효과교호.
Objective To summorize and analyze the clinical features of mycoplasma pneumoniae pneumonia(MMP) with lobar pneumonia manifestation.Methods The clinical data of 28 mycoplasma pneumoniae pneumonia children was analyzed retrospectively.Results The most common clinical feature of MPP children were cough with fever.The X-ray manifestation showed all the case had segmental lobe cloudy dense area and infiltrative lesions,one case among them combined with unilateral pleural effusion and another case combined with right atelectasis.After the antibody of mycoplasma (MP-IgM) were diagnosed as positive,all the subjects were give sequential therapy of erythromycin and azithromycin.Twenty-six cases were discharged after the symptoms were controlled,and another 2 cases were transferred to other hospitals.Sixteen cases reexamined X-ray after discharged for two weeks,focal absorbed.Conclusions The clinical X-ray manifestation of MPP was various; patients with normal symptoms can singly apply macrolide,glucocorticoid should be added if combined with infective intoxication symptoms.