临床合理用药杂志
臨床閤理用藥雜誌
림상합리용약잡지
CHINESE JOURNAL OF CLINICAL RATIONAL DRUG USE
2015年
18期
66-67
,共2页
肺炎,支原体%症状和体征
肺炎,支原體%癥狀和體徵
폐염,지원체%증상화체정
Pneumonia mycoplasma%Symptom and signs
目的：探讨不同年龄段小儿支原体肺炎的临床特征。方法选取成都市高新区芳草社区卫生服务中心2012年10月—2014年10月收治的支原体肺炎患儿87例，根据年龄段划分为两个组，0~3岁为婴幼儿组，4~14岁为年长儿组。对比分析两组患儿临床特征。结果两组患儿发热、白细胞计数增多、肺外并发症发生例数比较，差异无统计学意义（P ﹥0.05），婴幼儿组患儿干咳例数少于年长组，喘鸣或肺部湿啰音例数多于年长组，差异有统计学意义（P ﹤0.05）。两组患儿浸润部位比较，差异有统计学意义（P ﹤0.001）。结论婴幼儿支原体肺炎感染呼吸道症状明显，湿啰音、喘鸣音等肺部体征明显，X 线主要表现为小叶实质浸润性病变，肺外并发症较少；年长患儿一般高热持续时间较长，以刺激性干咳为主，主要损害部位为肺段实质，X 线下可见自肺门向肺野外呈放射状分布的大片絮状阴影，其中右肺最为常见。
目的：探討不同年齡段小兒支原體肺炎的臨床特徵。方法選取成都市高新區芳草社區衛生服務中心2012年10月—2014年10月收治的支原體肺炎患兒87例，根據年齡段劃分為兩箇組，0~3歲為嬰幼兒組，4~14歲為年長兒組。對比分析兩組患兒臨床特徵。結果兩組患兒髮熱、白細胞計數增多、肺外併髮癥髮生例數比較，差異無統計學意義（P ﹥0.05），嬰幼兒組患兒榦咳例數少于年長組，喘鳴或肺部濕啰音例數多于年長組，差異有統計學意義（P ﹤0.05）。兩組患兒浸潤部位比較，差異有統計學意義（P ﹤0.001）。結論嬰幼兒支原體肺炎感染呼吸道癥狀明顯，濕啰音、喘鳴音等肺部體徵明顯，X 線主要錶現為小葉實質浸潤性病變，肺外併髮癥較少；年長患兒一般高熱持續時間較長，以刺激性榦咳為主，主要損害部位為肺段實質，X 線下可見自肺門嚮肺野外呈放射狀分佈的大片絮狀陰影，其中右肺最為常見。
목적：탐토불동년령단소인지원체폐염적림상특정。방법선취성도시고신구방초사구위생복무중심2012년10월—2014년10월수치적지원체폐염환인87례，근거년령단화분위량개조，0~3세위영유인조，4~14세위년장인조。대비분석량조환인림상특정。결과량조환인발열、백세포계수증다、폐외병발증발생례수비교，차이무통계학의의（P ﹥0.05），영유인조환인간해례수소우년장조，천명혹폐부습라음례수다우년장조，차이유통계학의의（P ﹤0.05）。량조환인침윤부위비교，차이유통계학의의（P ﹤0.001）。결론영유인지원체폐염감염호흡도증상명현，습라음、천명음등폐부체정명현，X 선주요표현위소협실질침윤성병변，폐외병발증교소；년장환인일반고열지속시간교장，이자격성간해위주，주요손해부위위폐단실질，X 선하가견자폐문향폐야외정방사상분포적대편서상음영，기중우폐최위상견。
Objective To investigate the clinical characteristics of children with mycoplasma pneumonia(MPP)in different age groups. Methods In Fangcao Community Health Service Center of Gaoxin District from October 2012 to October 2014,a total of 87 children with MPP were selected,they were divided into infant group(0 - 3 years old)and older children group(4 - 14 years old)by age groups. The clinical characteristics of two groups were compared and analyzed. Results The cases of fever,WBC count increased,outside the lung illness complication between the two groups were compared,the differ-ences were not statistically significant(P ﹥ 0. 05),dry cough children in infant group were less than older children group, wheeze and moist rale were more than older children group,the differences were statistically significant( P ﹤ 0. 001). The mainly invasion sites between the two groups were compared,the differences were not statistically significant(P ﹥ 0. 05). Con-clusion Respiratory symptom are signficant in infant with MPP,moist rale,wheeze are signficant,lobular parenchymal infil-trative lesions are the major performance of X - ray,have less outside the lung illness complication;duration of high fever is lon-ger in older children,irritable dry cough is major,X - ray is visible from the lung to lung field radiated large flocculent shadow of the distribution,most common in right lung.
