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难治性肺炎支原体肺炎的诊断及治疗进展
引用本文:刘晓梅,杨光. 难治性肺炎支原体肺炎的诊断及治疗进展[J]. 医学综述, 2012, 0(22): 3805-3808
作者姓名:刘晓梅  杨光
作者单位:大连市儿童医院呼吸科
摘    要:
难治性肺炎支原体肺炎一般是指肺炎支原体肺炎经大环内酯类抗生素治疗1周以上,病情未见好转,甚至继续加重者。临床表现为持续高热不退、咳嗽且合并多系统损害。发病机制考虑与对大环内酯类抗生素耐药、免疫功能紊乱及合并其他病原体感染等多因素有关;大环内酯类抗生素联合糖皮质激素及纤维支气管镜肺泡灌洗是主要的治疗方法。

关 键 词:难治性  肺炎支原体肺炎  诊断  治疗

Progress of Diagnosis and Treatment of Refractory Mycoplasma Pneumoniae Pneumonia in Children
LIU Xiao-mei,YANG Guang. Progress of Diagnosis and Treatment of Refractory Mycoplasma Pneumoniae Pneumonia in Children[J]. Medical Recapitulate, 2012, 0(22): 3805-3808
Authors:LIU Xiao-mei  YANG Guang
Affiliation:.(Department of Respiratory,Dalian Children′s Hospital,Dalian 116000,China)
Abstract:
Refractory mycoplasma pneumoniae pneumonia refers that the patient with mycoplasma pneumoniae pneumonia get even worse after being treated by macrolide antibiotics more than one week.The clinical manifestations of the disease are continuous high fever,cough and multiple system damage.Pathogenesis is related with many factors,such as the drug resistance to macrolide antibiotics,immune disorders and combination with other pathogens infection.The main treatment is macrolide antibiotics,glucocorticoids and the operation of bronchoalveolar lavages by flexible bronchoscope.
Keywords:Refractory  Mycoplasma pneumoniae pneumonia  Diagnosis  Treatment
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