中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
18期
140-142
,共3页
大叶性肺炎%肺炎支原体感染%临床特征
大葉性肺炎%肺炎支原體感染%臨床特徵
대협성폐염%폐염지원체감염%림상특정
Lobar pneumonia%Mycoplasma pneumoniae infection%Clinical characteristics
目的：通过分析儿童大叶性肺炎合并肺炎支原体感染的临床特征，为疾病诊治提供依据。方法：以本院2012年8月-2014年8月收治的120例支原体肺炎患儿为研究对象，其中支气管肺炎55例，设为对照组，大叶性肺炎合并肺炎支原体感染65例，设为观察组，比较两组患儿年龄、肺炎表现、并发症、治疗及转归等情况。结果：观察组发病年龄集中在5~12岁，发热（38.5℃以上）、胃肠症状、精神症状、肝及心肌损害、胸腔积液及肺不张并发症分别为84.62%、24.62%、20.00%、52.31%、27.69%，与对照组的54.55%、9.09%、3.64%、23.64%、7.27%比较差异均有统计学意义（P<0.05）。观察组2周胸片吸收率明显比对照组少（P<0.05），另外两组平均住院时间[（18.20±3.58）d vs （12.08±1.85）d]比较差异有统计学意义（P<0.05）。结论：大叶性肺炎合并肺炎支原体感染以学龄期儿童为主，易合并肺外并发症，疗程长且胸片吸收相对慢。
目的：通過分析兒童大葉性肺炎閤併肺炎支原體感染的臨床特徵，為疾病診治提供依據。方法：以本院2012年8月-2014年8月收治的120例支原體肺炎患兒為研究對象，其中支氣管肺炎55例，設為對照組，大葉性肺炎閤併肺炎支原體感染65例，設為觀察組，比較兩組患兒年齡、肺炎錶現、併髮癥、治療及轉歸等情況。結果：觀察組髮病年齡集中在5~12歲，髮熱（38.5℃以上）、胃腸癥狀、精神癥狀、肝及心肌損害、胸腔積液及肺不張併髮癥分彆為84.62%、24.62%、20.00%、52.31%、27.69%，與對照組的54.55%、9.09%、3.64%、23.64%、7.27%比較差異均有統計學意義（P<0.05）。觀察組2週胸片吸收率明顯比對照組少（P<0.05），另外兩組平均住院時間[（18.20±3.58）d vs （12.08±1.85）d]比較差異有統計學意義（P<0.05）。結論：大葉性肺炎閤併肺炎支原體感染以學齡期兒童為主，易閤併肺外併髮癥，療程長且胸片吸收相對慢。
목적：통과분석인동대협성폐염합병폐염지원체감염적림상특정，위질병진치제공의거。방법：이본원2012년8월-2014년8월수치적120례지원체폐염환인위연구대상，기중지기관폐염55례，설위대조조，대협성폐염합병폐염지원체감염65례，설위관찰조，비교량조환인년령、폐염표현、병발증、치료급전귀등정황。결과：관찰조발병년령집중재5~12세，발열（38.5℃이상）、위장증상、정신증상、간급심기손해、흉강적액급폐불장병발증분별위84.62%、24.62%、20.00%、52.31%、27.69%，여대조조적54.55%、9.09%、3.64%、23.64%、7.27%비교차이균유통계학의의（P<0.05）。관찰조2주흉편흡수솔명현비대조조소（P<0.05），령외량조평균주원시간[（18.20±3.58）d vs （12.08±1.85）d]비교차이유통계학의의（P<0.05）。결론：대협성폐염합병폐염지원체감염이학령기인동위주，역합병폐외병발증，료정장차흉편흡수상대만。
Objective:To analyze clinical characteristics of children lobar pneumonia combined with mycoplasma pneumoniae infection,and offer the basis for the diagnosis of illness.Method:120 cases of mycoplasma pneumoniae infection hospitalized from August 2012 to August 2014 who were selected as study objects,there were 55 cases of bronchial pneumonia, who were selected as control group,there were 65 cases of lobar pneumonia combined with mycoplasma pneumoniae infection, who were selected as the observation group,age,pneumonia show,complications,treatment and prognosis of performance of children patients of two groups were compared.Result:Illness age incidence of children patients of the observation group were from five to twelve,fever(above 38.5 ℃),gastrointestinal symptoms,psychiatric symptoms,liver and cardiac damage,pleural effusion and pulmonary atelectasis complications were respectively 84.62%,24.62%,20.00%,52.31%,27.69%,those of the control group were 54.55%,9.09%,3.64%,23.64%,7.27%,the differences had statistical significance(P<0.05).X-ray absorption rates of two weeks of the observation group were significantly less than those of the control group(P<0.05),average hospitalization time of other two groups were[(18.20±3.58)d vs(12.08±1.85)d],the difference had statistical significances (P<0.05).Conclusion:Lobar pneumonia with pneumonia mycoplasma infection is main school aged children,easily combined with pulmonary complications,course of treatment is long and chest X-ray absorption is relatively slow.
