支原体肺炎54例临床特点分析

目的总结54例成人支原体肺炎的临床特点,探讨支原体肺炎与肺炎球菌肺炎的鉴别点,提高支原体肺炎的初诊率。方法对54例成人支原体肺炎的临床资料进行回顾性分析。结果54例支原体肺炎患者中,年龄<30岁者47例(87.0%),干咳或咳少许白痰者46例(85.2%),38例(70.4%)无肺部阳性体征,46例(85.2%)患者外周血白细胞计数正常。结论支原体肺炎多发于年轻人,表现为干咳或少痰,多缺乏胸部体征,血白细胞计数多正常,可初步与肺炎球菌肺炎相鉴别。

Clinical Characteristics of Mycoplasma Pneumonia:Analysis of 54Cases

Objective To investigate the clinical characteristics of mycoplasma pneumonia(MP)and the differential points between MP and pneumococcal pneumonia,to improve the initial diagnosis rate of MP.Methods The data of 54 MP patients was analyzed retrospectively.Results Of 54 MP patients,47 were less than 30 years old(87.0%),46 had nonproductive cough or with a small amount of sputum(85.0%),38 had no positive signs(70.4%),and 46 presented nomal counts of peripheral white blood cells(WBC)(85.2%).Conclusion Young people are more prone to MP.They present symptoms of dry cough or with a small amount of sputum,scant of chest signs,with normal total WBC,by which MP can be initially differentiated from pneumococcal pneumonia.