小儿支原体肺炎26例临床分析

目的探讨红霉素治疗小儿支原体肺炎的临床疗效。方法26例血清MP—IgM阳性患儿，均应用红霉素静脉滴注，20—35mg·kg^-1·d^-1，疗程为7—14d。对末梢白细胞计数增加、CRP升高、痰细菌培养阳性的细菌感染者，选用敏感抗生素联合治疗；对肺外并发症同时采用对症治疗。观察临床疗效。结果26例患儿中20例均痊愈，4例症状明显减轻后自动出院，2例无效。结论虽然肺炎支原体感染的治疗以大环内酯类抗生素为首选，但因其用药时间较长，通常为1—3周，故儿科临床应用红霉素时，需综合考虑患儿的耐受程度，酌量应用，以免引起较重的不良反应。

Clinical analysis of 26 cases with mycoplasma pneumonia in children

Objective To investigate the clinical effects of 26 cases with mycoplasma pneumonia（MP） in children. Methods 26 children suffering from MP were treated with erythromycin intravenous drip,20 -35mg ·kg^-1· d^-1, for 7 - 14 days. Patients in infection were treated with sensitive antibiotics, and those with complications out of pulmonary were treated according to the symtoms. Results In 26 cases. 4 cases left the hospital after the improvement of symtoms, 2 cases did not changed, and the rest 20 cases all healed. Conclusion It is necessary to consider the degree of tolerance fo children in the application of erythromycin, so as not to cause severe side reactions.