| 小儿肺炎支原体肺炎诊治体会 |
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| 引用本文： | 厉敏香,范铮,方成超.小儿肺炎支原体肺炎诊治体会[J].中国全科医学,2011,14(9). |
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| 作者姓名： | 厉敏香 范铮 方成超 |
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| 作者单位： | 浙江省杭州师范大学医学院附属余杭医院,311100 |
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| 摘 要： | 目的 总结小儿肺炎支原体(MP)肺炎的临床特点和诊治效果.方法 对2005年8月-2010年8月收治的180例MP肺炎患儿的临床特点、实验室检查、治疗及效果进行总结与分析.结果 本组病例的临床表现以发热、刺激性咳嗽为主,肺部体征多不明显,外周血白细胞大多正常,红细胞沉降率及C反应蛋白(CRP)正常或稍升高;X线胸片改变明显,此外尚有血液、肝功能、心肌、肾脏、神经系统等损害.患者均行阿奇霉素治疗,部分患者加用第三代头孢菌素、糖皮质激素,全部临床治愈.结论 小儿MP肺炎好发于学龄儿童,小儿MP肺炎临床症状重而体征轻,X线胸片阴影明显是MP肺炎的特点,血清学检测为诊断的主要手段,大环内酯类抗生素是治疗的首选药物.
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| 关 键 词： | 小儿 肺炎支原体 肺炎 诊断 治疗 |
Clinical Diagnosis and Treatment of Infantile Mycoplasma Pneumoniae Pneumonia |
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| LI Min-xiang,FAN Zheng,FANG Cheng-chao.Clinical Diagnosis and Treatment of Infantile Mycoplasma Pneumoniae Pneumonia[J].Chinese General Practice,2011,14(9). |
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| Authors: | LI Min-xiang FAN Zheng FANG Cheng-chao |
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| Institution: | LI Min-xiang,FAN Zheng,FANG Cheng-chao.Department of Pediatrics,Affiliated Yuhang Hospital,Medical College of Hangzhou Normal University,Hangzhou 311100,China |
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| Abstract: | Objective To summarize the clinical features of infantile mycoplasma pneumoniae(MP) pneumonia and its diagnosis and treatment. Methods The clinical features,laboratory examinations,treatment and outcomes of 180 MP infants admitted from August 2005 to August 2010 were analyzed. Results The main clinical manifestations of patients were fever,irritable cough,most with unobvious lung signs,normal peripheral blood leucocyte,and normal erythrocyte sedimentation rate(ESR) and C-reactive protein(CRP) or a little in... |
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| Keywords: | Children Mycoplasma pneumoniae Pneumonia Diagnosis Therapy |
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