CAJ | 학술논문

目的：了解本地区儿童支原体肺炎的临床特点。方法：对住院治疗的347例儿童支原体肺炎患儿临床特征进行回顾性分析。结果：1.347例儿童支原体肺炎患儿以1—7岁所占比例最高，占82.13%。2.婴幼儿组冬春季发病率高于少儿组，差异有统计学意义(P＜0.05)。性别、民族比较差异无统计学意义(P﹥0.05)。3.少儿组高热及热程﹥4天比婴幼儿组显著升高，婴幼儿组全身症状显著高于少儿组，差异有统计学意义(P＜0.05)。（4）体征：所有患儿都有呼吸增快，听诊呼吸音粗糙，婴幼儿组患儿肺部啰音较少儿组患儿明显升高，差异有统计学意义(P＜0.05)。（5）实验室检查：病例组中性粒细胞比例、I g A、C3及C4显著低于对照组，病例组白细胞计数、淋巴细胞比例及C K-M B显著高于对照组，两组比较差异均有统计学意义(P＜0.05)。病例组单核细胞比例、嗜酸粒细胞比例、血小板计数、CRP、血沉、IgG及IgM与对照组比较差异无统计学意义(P﹥0.05)。（6）X线检查：少儿组肺段实质浸润、肺纹理增粗及肺门影增浓显著高于婴幼儿组，两组比较差异均有统计学意义(P＜0.05)。结论：本院儿童支原体肺炎的临床特点主要以1—7岁的患儿发病为主，好发于冬春季。发热、咳嗽以及全身症状为主要症状，婴幼儿肺部体征重，常累及全身各系统，少儿组多出现高热且发热时间长。实验室检查白细胞计数、淋巴细胞比例及CK-MB升高，中性粒细胞比例、IgA、C3及C4测下降；影像学检查以少儿组严重，主要表现为肺段实质浸润、肺纹理增粗及肺门影增浓。
목적：료해본지구인동지원체폐염적림상특점。방법：대주원치료적347례인동지원체폐염환인림상특정진행회고성분석。결과：1.347례인동지원체폐염환인이1—7세소점비례최고，점82.13%。2.영유인조동춘계발병솔고우소인조，차이유통계학의의(P＜0.05)。성별、민족비교차이무통계학의의(P﹥0.05)。3.소인조고열급열정﹥4천비영유인조현저승고，영유인조전신증상현저고우소인조，차이유통계학의의(P＜0.05)。（4）체정：소유환인도유호흡증쾌，은진호흡음조조，영유인조환인폐부라음교소인조환인명현승고，차이유통계학의의(P＜0.05)。（5）실험실검사：병례조중성립세포비례、I g A、C3급C4현저저우대조조，병례조백세포계수、림파세포비례급C K-M B현저고우대조조，량조비교차이균유통계학의의(P＜0.05)。병례조단핵세포비례、기산립세포비례、혈소판계수、CRP、혈침、IgG급IgM여대조조비교차이무통계학의의(P﹥0.05)。（6）X선검사：소인조폐단실질침윤、폐문리증조급폐문영증농현저고우영유인조，량조비교차이균유통계학의의(P＜0.05)。결론：본원인동지원체폐염적림상특점주요이1—7세적환인발병위주，호발우동춘계。발열、해수이급전신증상위주요증상，영유인폐부체정중，상루급전신각계통，소인조다출현고열차발열시간장。실험실검사백세포계수、림파세포비례급CK-MB승고，중성립세포비례、IgA、C3급C4측하강；영상학검사이소인조엄중，주요표현위폐단실질침윤、폐문리증조급폐문영증농。
Objecfive To explore the clinical features of MPP in children in this region.Methods Of 347 cases of children hospitalized with MPP in children with clinical features were retrospectively analyzed.Results 1.347 cases of children with mycoplasma pneumonia in children with 1 - 7 years old the highest proportion of , accounting for 82.13%.2.Infants and young children winter incidence than children's group, the difference was statistically significant (P < 0.05). Gender, nationality compares difference has no statistical significance (P> 0.05).3.Children's set of heat and heat process > 4 days than a significant rise in infants and young children group, infants and young children systemic symptom is significantly higher than children's group, the difference was statistically significant (P< 0.05).4.Signs:all chidren have faster, breathing auscultate breath sounds harsh, infant groups of children with lung's children in the juvenile's group increased significantly, the difference was statistically significant (P < 0.05). 5.laboratory tests: the proportion of cases neutrophils, IgA, C3 and C4 was significantly lower than control group, the group of white blood cell count, lymphocyte proportion and CK - MB is significantly higher than the control group, two groups of comparative differences are statistically significant (P < 0.05). Proportion of cases monocytes, proportion of acidophilic granulocyte, platelet count, CRP, blood sedimentation, IgG and IgM there was no statistically significant difference compared with control group (P > 0.05).6.X-ray: children's pulmonary parenchymal infiltration, pulmonary vein enlargement and the lung shadow densification is significantly higher than infant group, two groups of comparative differences are statistically significant (P < 0.05). Conclusions:In our hospital the clinical characteristics of MMP in children are mainly composed of 1-7 children at the age of onset, occurs in the winter. Fever, cough and systemic symptom as the main symptoms, weight infant lung signs, often involving the whole body each system, children with high fever and fever more time long. Laboratory examination white blood cell count, lymphocyte ratio and higher CK - MB, neutrophils ratio, the IgA, the detection of C3 and C4, decrease; Imaging examination in children group, mainly for pulmonary parenchymal infiltration, pulmonary vein enlargement and pulmonary shadow densification.