难治性小儿支原体肺炎的临床研究

目的探讨难治性肺炎支原体肺炎的临床特点和诊治经验。方法对26例难治性肺炎支原体肺炎患儿的临床资料进行回顾性分析。结果 26例患儿均以发热、咳嗽起病,以高热为主,热型不规则,咳嗽剧烈。肺部受损表现为肺实质浸润、胸腔积液、肺不张等,多伴肺外多系统损伤。采用大环内酯类药物及其他敏感抗生素治疗,部分病例行纤维支气管镜灌洗治疗。结论难治性肺炎支原体肺炎病情复杂、迁延,但使用综合治疗方案后预后良好。

Clinical Research of Refractory Mycoplasma Pneumonia in Children

Objective To investigate the characteristics of refractory mycoplasma pneumoniae and the experience of diagnosis and treatment.Method The clinical data of 26 patients with refractory mycoplasma pneumoniae in children were retrospectively reviewed and analyzed.Results 26 cases had fever,cough,dominated by high fever.Heat type was irregular,and the cough was severe.Lung damage showed infiltration of lung parenchyma,pleural effusion,atelectasis,and many more with extrapulmonary multi-system damage.All the patients were treated with using macrolides and other sensitive antibiotic.Some cases were underwent bronchoscopy lavage.Conclusions Refractory mycoplasma pneumonia was complex,persistent,but the prognosis of using comprehensive treatment scheme was good.