中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
5期
108-109
,共2页
婴幼儿%支原体肺炎%诊断治疗
嬰幼兒%支原體肺炎%診斷治療
영유인%지원체폐염%진단치료
Infants and young children%Mycoplasma pneumonia%Diagnosis and treatment
目的：根据小儿肺炎支原体感染的临床表现和特征，探讨对其诊断与治疗的方法。方法：选取笔者所在医院2011年4月-2014年4月收治的41例肺炎支原体感染患儿作为研究对象，对其临床资料进行回顾性分析。41例均有不同程度的咳嗽、咳痰；其中29例患者有发热病史，34例患者就诊时仅表现为肺部呼吸音减弱或增粗、无干湿啰音。一周后出现湿啰音，伴喘鸣音有9例，呼吸音减低有1例，轻度胸痛5例，病变区叩诊浊音3例，无阳性体征者4例。肺外表现：窦性心动过速4例，窦性心律不齐2例，S-T段及T波改变2例。感染性贫血1例，恶心、呕吐13例，腹痛8例，肝功能异常6例，皮疹2例，部分患者伴有胃肠道症状及局部表浅淋巴结肿大。X线检查：胸片提示斑片状或点状阴影，伴胸膜反应3例。心电图检查：33例正常，4例提示窦性心动过速，S-T段及T波改变2例，窦性心律不齐2例。结果：经过药物治疗，41例肺炎支原体感染患儿均临床治愈。结论：婴幼儿支原体肺炎临床表现不典型，肺外表现多，经合理治疗预后良好。
目的：根據小兒肺炎支原體感染的臨床錶現和特徵，探討對其診斷與治療的方法。方法：選取筆者所在醫院2011年4月-2014年4月收治的41例肺炎支原體感染患兒作為研究對象，對其臨床資料進行迴顧性分析。41例均有不同程度的咳嗽、咳痰；其中29例患者有髮熱病史，34例患者就診時僅錶現為肺部呼吸音減弱或增粗、無榦濕啰音。一週後齣現濕啰音，伴喘鳴音有9例，呼吸音減低有1例，輕度胸痛5例，病變區叩診濁音3例，無暘性體徵者4例。肺外錶現：竇性心動過速4例，竇性心律不齊2例，S-T段及T波改變2例。感染性貧血1例，噁心、嘔吐13例，腹痛8例，肝功能異常6例，皮疹2例，部分患者伴有胃腸道癥狀及跼部錶淺淋巴結腫大。X線檢查：胸片提示斑片狀或點狀陰影，伴胸膜反應3例。心電圖檢查：33例正常，4例提示竇性心動過速，S-T段及T波改變2例，竇性心律不齊2例。結果：經過藥物治療，41例肺炎支原體感染患兒均臨床治愈。結論：嬰幼兒支原體肺炎臨床錶現不典型，肺外錶現多，經閤理治療預後良好。
목적：근거소인폐염지원체감염적림상표현화특정，탐토대기진단여치료적방법。방법：선취필자소재의원2011년4월-2014년4월수치적41례폐염지원체감염환인작위연구대상，대기림상자료진행회고성분석。41례균유불동정도적해수、해담；기중29례환자유발열병사，34례환자취진시부표현위폐부호흡음감약혹증조、무간습라음。일주후출현습라음，반천명음유9례，호흡음감저유1례，경도흉통5례，병변구고진탁음3례，무양성체정자4례。폐외표현：두성심동과속4례，두성심률불제2례，S-T단급T파개변2례。감염성빈혈1례，악심、구토13례，복통8례，간공능이상6례，피진2례，부분환자반유위장도증상급국부표천림파결종대。X선검사：흉편제시반편상혹점상음영，반흉막반응3례。심전도검사：33례정상，4례제시두성심동과속，S-T단급T파개변2례，두성심률불제2례。결과：경과약물치료，41례폐염지원체감염환인균림상치유。결론：영유인지원체폐염림상표현불전형，폐외표현다，경합리치료예후량호。
Objective:According to the clinical manifestations of the pediatric pneumonia mycoplasma infection and characteristics,to discuss the methods of diagnosis and treatment.Method:41 children with mycoplasma pneumoniae infection in our hospital from April 2011 to April 2014 were selected as the research objects,the clinical data were retrospectively analyzed.41 patients had different degree of cough,sputum.Including 29 cases with a history of fever,34 cases showed only a diminished or enlargement of lung breath sounds,no dry wet rale when seeing a doctor.Wet rale appeared after a week,9 cases with wheezing,decreased breath sounds in 1 case,mild chest pain in 5 cases,the lesion area percussion dullness in 3 cases, no positive signs in 4 cases.Extrapulmonary manifestations:4 cases were sinus tachycardia,sinus arrhythmia in 2 cases,S-T and T wave change in 2 cases.Infectious anemia in 1 case,13 cases of nausea,vomiting,abdominal pain in 8 cases,6 cases of abnormal liver function,skin rash in 2 cases, some patients with gastrointestinal symptoms and local superficial lymph node enlargement.X-ray suggests patchy shadows or dotted,3 cases with pleural reaction.Ecg examination:33 cases were normal,4 cases of sinus tachycardia,S–T segment and T wave change in 2 cases,sinus arrhythmia in 2 cases. Result:After drug treatment,41 cases were clinical cure.Conclusion:The clinical manifestations of infant and young child mycoplasma pneumonia is not typical,there are many extrapulmonary performance,after reasonable treatment,the prognosis is good.
