空军医学杂志
空軍醫學雜誌
공군의학잡지
MEDICAL JOURNAL OF AIR FORCE
2015年
1期
31-34
,共4页
肺炎支原体%大叶性肺炎%临床特征
肺炎支原體%大葉性肺炎%臨床特徵
폐염지원체%대협성폐염%림상특정
Mycoplasma pneumoniae%Lobar pneumonia%Clinical characteristics
目的：探讨大叶性肺炎支原体肺炎（mycoplasma pneumoniae pneumonia，MPP）的临床特点。方法回顾性分析2011年1月—2013年12月住院的34例大叶性MPP和60例非大叶性MPP患者，归纳总结大叶性MPP的临床特征。结果与非大叶性MPP相比，大叶性MPP高热、肺内外并发症、血清C反应蛋白（CRP）增高的发生率更高（P＜0.05），发热时间、住院时间延长（P＜0.05），更易发展为重症MPP（severe MPP，SMPP）（P＜0.05）；CRP＞40 mg/L者较CRP≤40 mg/L者更易发展为SMPP（P＜0.05）。在应用抗生素基础上，大叶性MPP糖皮质激素的应用率高于非大叶性MPP（P＜0.05）。结论大叶性MPP症状较重，肺内外并发症多见，其血清CRP多增高，发热过程和住院时间延长；联合小剂量糖皮质激素可改善大叶性MPP的症状。
目的：探討大葉性肺炎支原體肺炎（mycoplasma pneumoniae pneumonia，MPP）的臨床特點。方法迴顧性分析2011年1月—2013年12月住院的34例大葉性MPP和60例非大葉性MPP患者，歸納總結大葉性MPP的臨床特徵。結果與非大葉性MPP相比，大葉性MPP高熱、肺內外併髮癥、血清C反應蛋白（CRP）增高的髮生率更高（P＜0.05），髮熱時間、住院時間延長（P＜0.05），更易髮展為重癥MPP（severe MPP，SMPP）（P＜0.05）；CRP＞40 mg/L者較CRP≤40 mg/L者更易髮展為SMPP（P＜0.05）。在應用抗生素基礎上，大葉性MPP糖皮質激素的應用率高于非大葉性MPP（P＜0.05）。結論大葉性MPP癥狀較重，肺內外併髮癥多見，其血清CRP多增高，髮熱過程和住院時間延長；聯閤小劑量糖皮質激素可改善大葉性MPP的癥狀。
목적：탐토대협성폐염지원체폐염（mycoplasma pneumoniae pneumonia，MPP）적림상특점。방법회고성분석2011년1월—2013년12월주원적34례대협성MPP화60례비대협성MPP환자，귀납총결대협성MPP적림상특정。결과여비대협성MPP상비，대협성MPP고열、폐내외병발증、혈청C반응단백（CRP）증고적발생솔경고（P＜0.05），발열시간、주원시간연장（P＜0.05），경역발전위중증MPP（severe MPP，SMPP）（P＜0.05）；CRP＞40 mg/L자교CRP≤40 mg/L자경역발전위SMPP（P＜0.05）。재응용항생소기출상，대협성MPP당피질격소적응용솔고우비대협성MPP（P＜0.05）。결론대협성MPP증상교중，폐내외병발증다견，기혈청CRP다증고，발열과정화주원시간연장；연합소제량당피질격소가개선대협성MPP적증상。
Objective To investigate the clinical characteristics of MPP characterized by the feature of lobar pneumoniae. Methods 34 cases of lobar MPP and 60 cases of non lobar MPP hospitalized during January 2011 to December 2013 were retrospectively reviewed. The clinical features, treatments and outcomes were analyzed. Results Compared with the non lobar MPP, the lobar MPP presented high fever, elevated CRP,pulmonary and extrapulmonary complications more frequently(P<0.05), the duration of fever and hospitalization were longer(P<0.05),and patients in this group seemed more frequently to develop into severe MPP(SMPP)(P<0.05).Patients with a CRP level over 40 mg/L more easily developed into SMPP(P<0.05). On the basis of an appropriate antibiotic therapy, patients with lobar MPP needed to combine a low dose of systemic corticosteroid treatment more often to improve the clinical symptoms(P<0.05). Conclusions Compared with the non lobar MPP, patients with lobar MPP often presented a more severe clinical symptoms, a elevated CRP,the incidence of pulmonary and extrapulmonary implications were higher,and the duration of fever and hospitalization were prolonged. Combining with a low dose of systemic corticosteroid treatment could improve the clinical symptoms of lobar MPP , especially for these patients who had poor effect with an appropriate antibiotic therapy.
