小儿肺炎支原体肺炎116例临床分析

目的了解小儿支原体肺炎的临床特点，提高对本病的临床认识和诊治水平。方法对116例肺炎支原体肺炎患儿的临床资料进行分析。结果发病年龄多为学龄儿童，6～12岁占48．28％，但年幼儿童感染率有所增加，3岁以下占15．52％。发热伴咳嗽的患儿占87．07％，平均发热8．42d。早期多无明显阳性体征，随病程的进展，83．62％的患儿肺部出现湿啰音。MP—IgM阳性率为45．69％，肺炎支原体快速培养阳性率53．45％，MP—IgM阳性和或MP快速培养阳性患者共86例，阳性率74．13％。外周血白细胞大多正常（占58．62％）。胸片以一侧大片状阴影为多见，占72．41％，右侧（59．48％）多于左侧，下叶（70．23％）多于中上叶。42例（36．21％）患儿有并发症。所有病例均用阿奇霉素或红霉素治疗，效果大多较好。结论小儿支原体肺炎好发于学龄儿童，大多数患儿肺部出现湿啰音，血清特异性抗体MP—IgM检测结合肺炎支原体快速培养法利于早期诊断。

Clinical report on diagnosis and treatment of 116 cases with pediatric Mycoplasma pneumonia

Objective To understand clinical characteristics of mycoplasma pneumonia in children and to improve clinical congiton, diagnosis and treatment of this disease. Methods The clinical data of 116 children with Mycoplasmal pneumonia was analyzed comprehensively. Results Children＇s mycoplasmic pneumonia was the most common in school children aged 6 to 12 years （48.28%）. But there was an increase in the infection rate of children less than 3 years old,which accounted for 15.52%. Children with fever accompanied by cough accounted for 87.07%, with an average 8.42 days of fever. In the early stage of disease course, the children were no obvious positive signs. With disease progression, 83.62% of children had rales in lung. There were 45.69% and 53.45% positive rate in serum specific antibody MP - IgM detection and Mycoplasma pneumoniae rapid culture respectivel. A total of 86 cases of patients was MP - IgM positive and/or MP rapid culture postive, accounted for 74. 13%. 58.62% of children were normal in the peripheral leukocytes Check. It was common that a large flake of shadow in one side in the chest X -ray film accounted for 72.41%, the right side （59.48%）was more than the left, the lower lobe （70. 23% ）more than the middle and superior lobe. 42 children （36.21%） had complications. All patients recived azithromycin or erythromycin treatment, and therapeutic effects were mostly good. Conclusion The children＇s mycoplasma pneumonia frequently occured in the school - age children, the majority of them had pulmonary rale. It was helpful to early diagnosis for MP to take serum specific antibody MP - IgM detection and mycoplasma pneumonia Rapid culture.