肺炎支原体肺炎38例分析

我科于１９９５年８月１日－１９９６年１月底共收治住院肺炎病例１７４例，全部病例均于发病后的４－１４天测定血清肺炎支原体抗体而确诊为肺炎支原体肺炎３８例，有１例病后第５天血清肺炎支原体抗体呈现阳性，本组病例以８－１１岁年龄期儿童患病率高共１９例并伴发多系统受累，３８例中，胸膜反应１例，胸膜炎１例，皮疹４例，呕吐４例，脑膜脑炎１例，谷草转所酶，谷现转氨酶，肌酸磷酸激酶，乳腺脱氢或高共５例，但无脏器衰竭

38 CASES OF PNEUMONIC MYCOPLASMAL PNEUMONIA COMPLICATED BY 1 CASE OF MENINGOENCEPHALITIS

174 children with pneumonia were hospitalized in our department from August 1, 1995 to January 31,1996. The antibodies against pneumonic mycoplasma were measured in serum fron all cases 4 to 14 days after onset of the disease. 38 children were diagnosed as pneumonic mycoplasmal pneumonia(accounting for 21.26% ). in which 1 case showed a positive reaction of serum antibody against pneumonic mycoplasma 5 days after occurrence of the disease. The morbidity rate (19 cases, amounting to 50%)was higher in children at the age of 8-11 than other age groups. accompanied by impairment of multiple systems. In 38 cases of pneumounic mycoplasmal pneumonia.there were I case of pleural reaction, 1 pleuritsi, 4 skin rash, 4 vomiting. 1 meningoencephalitis, 5 increased activities of aspartate transaminase (AST), alanine transaminase(ALY ), creatine phospokinase(CPK), and lactic dehydrogenase (LDH): but no organ failure occurred. One case of meningoencephalitis, with high fever, convulsion and coma, caused by pneumonic mycoplasma was completely recovered.