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非典型肺炎25例临床分析
引用本文:毕筱刚,周凤丽,张扣兴,张天托,饶宪,娄探奇.非典型肺炎25例临床分析[J].中国综合临床,2003,19(7):585-586.
作者姓名:毕筱刚  周凤丽  张扣兴  张天托  饶宪  娄探奇
作者单位:510630,广东广州,中山大学附属第三医院呼吸内科
摘    要:目的 探讨非典型肺炎的临床特点及其有效防治措施。方法 对25例非典型肺炎患者临床资料进行回顾性分析。结果 社区感染3例;22例院内感染者均有该病接触史,潜伏期约为1-11天。临床表现均有高热、头痛、咳嗽和气促;10例(4_0%)有严重呼吸困难;12例(4-8%)关节肌肉剧痛;仅4例(16%)有少量湿罗音;25例(100%)血白细胞总数不高,血培养、衣原体抗体阴性;X线检查3例(12%)呈双肺间质性改变;22例(88%)呈斑片状浸润影。结论 非典型肺炎具有较强的传染性.综合治疗其于预后良好.

关 键 词:非典型肺炎  临床传染性  糖皮质激素
文章编号:1008-6315(2003)07-0585-02

Clinical analysis of 25 patients with atypical pneumonia
Bi Xiaogang,Zhou Fengli,Zhang Kouxing,et al..Clinical analysis of 25 patients with atypical pneumonia[J].Clinical Medicine of China,2003,19(7):585-586.
Authors:Bi Xiaogang  Zhou Fengli  Zhang Kouxing  
Institution:510630 Guangdong Guangzhou
Abstract:Objective To investigate the clinical features of atypical pneumonia and its effectvie prevention and treatment.Methods 25 cases with atypical pneumonia were retrospectively analyzed.Results 3 cases were community infected. 22 cases who were infected in hospital had exposure to atypical pneumonia.The incubation period ranged from 1 to 11 days.The Common symptoms inclueled fever,headache,cough and polypnea.Among them,10 cases(40%)had severe respiratiory difficulty,12 case(48%)had severe pain of musculoskeletal;4 cases(16%)had crepitations.WBC aunt was normal in 25 cases.Blood cultrue and chlamydial antibody were negative in 25 cases.X-ray showed interstitial pneumenia in 3 cases,and patchy consolidation in 22 cases(88%).Conclusion Atypical pneumonia is an highly infective comprehensive treatment can obtain better prognosis.
Keywords:Atypical pneumonia  Clinic infectivity  Glucocorticoid
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