医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
14期
73-74
,共2页
杨海娟%梁中信%曹素芬%陈霞
楊海娟%樑中信%曹素芬%陳霞
양해연%량중신%조소분%진하
小儿%呼吸道感染%肺炎支原体%特点%诊治
小兒%呼吸道感染%肺炎支原體%特點%診治
소인%호흡도감염%폐염지원체%특점%진치
Children%Respiratory tract infection%Mycoplasma pneumoniae%Features%Diagnosis and treatment
目的探讨小儿呼吸道肺炎支原体（MP）感染的临床特点及诊治方法，提高诊治水平。方法回顾性分析我院2013年9月~2014年9月收治的肺炎支原体感染患儿129例临床资料，归纳临床表现，诊断和治疗方法。结果 MP感染临床表现在肺部、肺外及肺部合并肺外的比例分别为60.47%、19.38%、20.16%，低龄患儿以肺部症状为主，占68.6%，高龄患儿仅55.12%表现为肺部症状，而仅有肺外表现的患儿占26.64%，两组比较差异具有显著性(P<0.05)。所有患儿MP-IgM检测结果阳性，给予大环内酯抗生素及对症支持治疗后1w后症状消失或明显改善，8w后复查MP-IgM，104例转阴，12周阳性患儿复查，21例转阴。结论 MP感染患儿临床表现多样化，不典型，因此出现疑似症状时应考虑有MP感染的可能性，采用血清特异性抗体检测，及时给予大环内酯类抗生素治疗效果较好。
目的探討小兒呼吸道肺炎支原體（MP）感染的臨床特點及診治方法，提高診治水平。方法迴顧性分析我院2013年9月~2014年9月收治的肺炎支原體感染患兒129例臨床資料，歸納臨床錶現，診斷和治療方法。結果 MP感染臨床錶現在肺部、肺外及肺部閤併肺外的比例分彆為60.47%、19.38%、20.16%，低齡患兒以肺部癥狀為主，佔68.6%，高齡患兒僅55.12%錶現為肺部癥狀，而僅有肺外錶現的患兒佔26.64%，兩組比較差異具有顯著性(P<0.05)。所有患兒MP-IgM檢測結果暘性，給予大環內酯抗生素及對癥支持治療後1w後癥狀消失或明顯改善，8w後複查MP-IgM，104例轉陰，12週暘性患兒複查，21例轉陰。結論 MP感染患兒臨床錶現多樣化，不典型，因此齣現疑似癥狀時應攷慮有MP感染的可能性，採用血清特異性抗體檢測，及時給予大環內酯類抗生素治療效果較好。
목적탐토소인호흡도폐염지원체（MP）감염적림상특점급진치방법，제고진치수평。방법회고성분석아원2013년9월~2014년9월수치적폐염지원체감염환인129례림상자료，귀납림상표현，진단화치료방법。결과 MP감염림상표현재폐부、폐외급폐부합병폐외적비례분별위60.47%、19.38%、20.16%，저령환인이폐부증상위주，점68.6%，고령환인부55.12%표현위폐부증상，이부유폐외표현적환인점26.64%，량조비교차이구유현저성(P<0.05)。소유환인MP-IgM검측결과양성，급여대배내지항생소급대증지지치료후1w후증상소실혹명현개선，8w후복사MP-IgM，104례전음，12주양성환인복사，21례전음。결론 MP감염환인림상표현다양화，불전형，인차출현의사증상시응고필유MP감염적가능성，채용혈청특이성항체검측，급시급여대배내지류항생소치료효과교호。
Objective To investigate the children with Mycoplasma pneumoniae (MP)clinical characteristics and the diagnosis and treatment of infection,improve the level of diagnosis and treatment.Methods Retrospective analysis of the clinical data of 129 patients in our hospital in 2013 September-2014 September from pneumonia mycoplasma infection,summarized the clinical manifestations,diagnosis and treatment.Results The clinical manifestations of MP infection in the lungs,extra pulmonary and pulmonary complicated with extrapulmonary proportion were 60.47%,19.38%,20.16%,the younger children with pulmonary symptoms,accounted for 68.6%of children,aged only 55.12%for the performance of pulmonary symptoms,and only extrapulmonary manifestations of children accounted for 26.64%,the dif erence between the two groups have significant student ( <0.05).MP-IgM test results were positive,given azithromycin and symptomatic and supportive treatment after 1 weeks after the symptoms disappeared or improved,8 weeks MP-IgM,negative in 104 cases,12 weeks of children with positive review,negative in 21 cases.Conclusion MP infection in children with dif erent clinical manifestations,is not typical,so suspicious symptoms should be considered when there is the possibility of MP infection,by detection of serum specific antibody,timely macrolide antibiotic treatment ef ect is bet er.
