小儿肺炎支原体肺炎42例临床分析

目的分析小儿支原体肺炎临床表现特点、相关辅助检查、治疗用药和疗效,提高诊治水平。方法对2009年1月至2011年5月收治的42例支原体肺炎病例进行回顾性总结分析,比较临床特点和治疗效果。结果患儿发病年龄多为3～6岁儿童,占52.4%(22例)。临床以发热、咳嗽、咽部充血为主要症状,占92.9%(39例),可伴有不同程度的肺外症状,MP-IgM阳性率高100%(42例)。红霉素、阿奇霉素序贯治疗和阿奇霉素相比疗效好,副作用小。结论小儿支原体肺炎好发于学龄前儿童,MP-IgM阳性有利于早期诊断,红霉素、阿奇霉素序贯治疗支原体肺炎,疗效好,副作用小,患儿依从性好,使用方便。

Mycoplasma pneumoniae pneumonia in 42 cases

Objective Analysis of clinical characteristics of mycoplasma pneumonia in children,related laboratory examinations,medication and treatment,improve diagnosis and treatment.Methods From January 2009 to May 2011 42 cases of mycoplasma pneumonia in our hospital were retrospectively analyzed,Compare the clinical characteristics and treatment.Results The age of onset ranged from 3 to 6 years,accounted for 52.4%(22 cases).Clinical fever,cough,throat congestion as the main symptom,accounted for 92.9%(39 cases),may be associated with varying degrees of pulmonary symptoms,MP-IgM positive rate of 100%(42 cases).Compared with azithromycin treatment Erythromycin and azithromycin sequential therapy can obtain a highly treatment effective and small side effect.Conclusion Mycoplasma pneumonia occur in the preschool,MP-IgM positive benefit of early diagnosis,erythromycin and azithromycin sequential treatment of mycoplasma pneumonia can obtain a highly treatment effective,small side effect and easy to use.