CAJ | 학술논문

目的：分析小儿以肺外脏器损害为首发症状的肺炎支原体（Mycoplasma pneumoniae ，MP）感染的临床表现，提高诊治水平。方法回顾分析以肺外脏器损害为首发症状的79例 MP 感染患儿临床资料。结果肺炎支原体（MP）感染578例中79例以肺外器官损害为首发症状（13.7%），累及的主要器官有血液系统28例（35.4%）、神经系统19例（24.1%）、皮肤损害11例（13.9%）、消化系统7例（8.9%）、心血管系统6例（7.6%）、结缔组织5例（6.3%）、肌肉关节损害2例（2.5%）、泌尿系统1例（1.3%）。结论小儿肺炎支原体易引起肺外脏器损害，对于常规治疗不理想及诊断不明确患儿，应注意支原体感染，尤其是以肺外脏器损害为首发症状者。
목적：분석소인이폐외장기손해위수발증상적폐염지원체（Mycoplasma pneumoniae ，MP）감염적림상표현，제고진치수평。방법회고분석이폐외장기손해위수발증상적79례 MP 감염환인림상자료。결과폐염지원체（MP）감염578례중79례이폐외기관손해위수발증상（13.7%），루급적주요기관유혈액계통28례（35.4%）、신경계통19례（24.1%）、피부손해11례（13.9%）、소화계통7례（8.9%）、심혈관계통6례（7.6%）、결체조직5례（6.3%）、기육관절손해2례（2.5%）、비뇨계통1례（1.3%）。결론소인폐염지원체역인기폐외장기손해，대우상규치료불이상급진단불명학환인，응주의지원체감염，우기시이폐외장기손해위수발증상자。
Objective:to investigate the clinical manifestations of pediatric extrapulmonary organ damage as first symp-toms of Mycoplasma pneumonia(MP)infection,improve the diagnostic and treatment level. Methods:The clinical data of 79 children with Mycoplasma pneumonia infection of extrapulmonary organ damage as first symptoms were analyzed retro-spectively. Results:Among 578 children with Mycoplasma pneumoniae infection,79 children were found with extrapulmo-nary organ damage as starting symptoms(13. 7% ),79 children involving the main organs included hematologic system (28children,35. 4% ),nervous system( 19children,24. 1% ),skin lesion( 11 children,13. 9% ),digestive system( 7children,8. 9% ),cardiovascular system( 6children,7. 6% ),connective tissue(5children,6. 3% ),muscular and joint damage(2children,2. 5% ),and urinary system( 1children,1. 3% ). Conclusion:Damage of other visceral organs is fre-quently observed in children with Mycoplasma infection . Children with respiratory infection and multi - organs disfunction should not overlook the complications caused by Mycoplasma pneumoniae infection ,especially when the symptoms of respir-atory tract infection appear.