| 难治性肺炎支原体肺炎18例临床分析 |
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| 引用本文： | 曹海琴,毛金龙. 难治性肺炎支原体肺炎18例临床分析[J]. 临床儿科杂志, 2011, 29(2). DOI: 10.3969/j.issn.1000-3606.2011.02.009 |
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| 作者姓名： | 曹海琴 毛金龙 |
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| 作者单位： | 南通市第二人民医院儿科,江苏,南通,226002 |
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| 摘 要： | 目的探讨难治性肺炎支原体肺炎(RMPP)的发病特点,提高诊断与治疗水平。方法对18例MPP的临床表现、辅助检查、治疗情况及转归进行回顾性分析。结果 18例难治性肺炎支原体肺炎多以发热、咳嗽起病,热型多表现为稽留热,咳嗽剧烈;胸片示双侧肺实变影3例,单侧肺浸润15例,且右侧多于左侧,肺部X线异常率明显高于肺部体征阳性率。常伴有肺外多系统损害,出现心肌损害11例,肝功能损害5例,血小板减少2例,皮疹2例。18例均给予大环内酯类抗生素治疗。6例加用琥珀酸氢化可的松及免疫球蛋白治疗,发热及咳嗽症状改善快。随访2～3个月,全部病例肺部炎性反应吸收。结论虽然RMPP病情严重且病程迁延,但经合理治疗均可治愈。
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| 关 键 词： | 肺炎支原体 肺炎 并发症 |
Clinical analysis of 18 children with refractory Mycoplasma pneumoniae pneumonia |
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| CAO Hai-qin,MAO Jin-long. Clinical analysis of 18 children with refractory Mycoplasma pneumoniae pneumonia[J]. The Journal of Clinical Pediatrics, 2011, 29(2). DOI: 10.3969/j.issn.1000-3606.2011.02.009 |
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| Authors: | CAO Hai-qin MAO Jin-long |
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| Affiliation: | CAO Hai-qin,MAO Jin-long(Department of Pediatrics,The Second People's Hospital of Nantong,Nantong 226002,Jiangsu,China) |
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| Abstract: | Objective To explore the characteristics of refractory Mycoplasma pneumoniae pneumonia(RMPP),to improve diagnosis and treatment during clinical practice.Methods Clinical manifestations,laboratory examination data,treatment and prognosis of 18 patients with RMPP were analyzed retrospectively.Results Most of them had fever and cough at onset of RMPP,usually presented with continued fever and severe cough;for chest X-ray examination,bilateral pulmonary consolidation shadow was shown in 3 cases,unilateral pulmo... |
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| Keywords: | Mycoplasma pneumoniae pneumonia complication |
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