小儿支原体肺炎49例

目的探讨小儿肺炎支原体肺炎（MMP）的发病特点、临床表现及治疗方法,进一步明确此症的诊断与治疗。方法回顾性分析49例肺炎支原体肺炎患儿的临床资料。结果 49例支原体肺炎中平均发病年龄3岁10个月,发热38例,喘息性咳嗽20例,刺激性咳嗽18例,阵发性咳嗽11例,合并肺外并发症24例,所有患儿应用阿奇霉素及对症治疗,治疗效果良好,平均住院天数8.5 d。结论 MPP发病年龄有提前的趋势,婴幼儿发病率明显增多,以发热、喘息性及刺激性咳嗽为主,病情较重,肺外表现多样化,要根据不同年龄阶段的具体临床特点实施治疗。

Children mycoplasmal pneumonina in 49 cases

Objective To investigate the various clinical characteristics,clinical manifestations and treatment method of children mycoplasmal pneumoina,make clear diagnosis and treatment.Methods The datas of 49 children with mycoplasmal pneumonia were reviewed and analyzed.Results Among the 49 cases of mycoplasma pneumonia,the average age of onset was 3 years old 10 months,fever in 38 cases,asthmatic cough in 20 cases,irritable cough in 18 cases,paroxysmal cough in 11 cases.The 24 patients with extra pulmonary complications,application of azithromycin and symptomatic treatment in all cases,treatment effect was good,the average days in hospital was 8.5 days.Conclusion The age of the trend was in advance,the incidence of infant markedly increased,by fever,asthmatic and irritating cough primarily.The illness is serious,extra pulmonary performance was diversified.The treatment should be according to specific clinical characteristics of different ages.