婴幼儿肺炎支原体肺炎的临床特征分析

目的了解婴幼儿肺炎支原体肺炎的临床特点,探讨如何及早诊断。方法采用回顾性研究方法,对2003年1月至2006年5月收治的274例肺炎支原体肺炎患儿的临床特征进行了分析。结果婴幼儿肺炎支原体肺炎较年长儿起病急,症状重,以咳嗽、喘息为主要症状,肺部细小湿啰音、哮鸣音多并与X线表现呈正相关;胸部X线表现以小斑点状阴影为主;肝功能异常、腹泻、呕吐等消化道症状是最常见的肺外损伤表现。血清肺炎支原体特异性抗体IgM出现晚,滴度低,合并细菌、病毒感染多,单用大环内酯类药物治疗效果不好。结论婴幼儿肺炎支原体肺炎临床表现不典型,早期诊断困难。

The Clinical Characteristics of Mycoplasma Pneumonia from Infants

Objective To study clinical characteristics and explore the early diagnosis in the infants mycoplama pneumonia (MPP). Methods The chief clinical manifestations of 274 hospitalized infants and children of MPP were analysed retrospectively from January 2003 to May 2006. Results The clinical characteristic of MPP infants were different from MPP children, the onset of illness were more acute and server,the chief clinical manifestations were cough, gasp, wet gong sound and wheeze. Pulmonary X-ray were small patchy shadows. The most common extra-pulmonary injure were no-normal of hepatic function, diarrhea and vomit. The positive MP-IgM of serum were late and low levels. The some cases had bacteria or virus infection and showed no good respone to Macrolides. Conclusion The clinical characteristics in MPP infants were no-typical and the early diagnosis was difficulty.