小儿支原体肺炎222例临床分析

目的探讨小儿支原体肺炎的临床特征和治疗,提高其诊断率。方法对222例支原体肺炎进行临床表现及实验室检查的回顾性分析,并结合文献进行讨论。结果支原体肺炎临床以咳嗽、发热为主要表现,肺部体征不明显,胸片以肺实质阴影改变最多,特异性血清支原体IgM检测是公认的实验室诊断方法之一。结论支原体肺炎具有潜伏期长的特点, 易合并肺外表现,应注意鉴别。选用大环内酯类药物治疗效果好。

The Clinical Analysis of 222 Cases Mycoplasma Pneumoniae in Children

Objective To discuss the clinical features and therapy of Mycopalsma pneumoniae in children and improve the correctness of the diagnosis. Methods Combined the review of literature,the clinical spectrum and laboratory test 222 cases of Mycoplasma pneumoniae were analyzed and discussed retrospectively.Results MP patient's major clinical spectrum includes cough and fever.Their lung signs are not apparent while the chest X-ray reveal substantial shadow change in the lung frequently.Specific serological IgM antibodies assessment is one of the well known laboratory diagnosis methods.Conclusion MP has a long incubation period and easy combined with outer lung spectrum which need differentiate carefully.It responded to the regimen of macrolides.