小儿肺炎支原体肺炎112例临床分析

目的探讨小儿肺炎支原体（MP）肺炎的临床表现及诊治特点。方法将112例小儿MP肺炎患儿按年龄分为2组：学龄前组（3-6岁）61例,学龄组（〉6岁）51例。对2组患儿临床表现、辅助检查（X线表现、实验室检查、心电图等）及治疗效果进行总结分析。结果 2组患儿入院时的临床症状及体征比较差异无统计学意义（P〉0.05）;X线检查：间质浸润和扇形浸润的影像学表现学龄前组高于学龄组（P〈0.05）,节段或大叶型表现2组比较差异无统计学意义（P〉0.05）。心电图、心肌酶以及肝功能变化2组比较差异无统计学意义（P〉0.05）。学龄前组治愈56例,治愈率为91.8%;学龄组治愈47例,治愈率92.2%,2组比较差异无统计学意义（P〉0.05）。学龄前组住院时间（12.1±3.39）d,学龄组住院时间为（14.7±3.4）d,2组比较差异有统计学意义（P〈0.01）。结论小儿MP肺炎起病急,肺外器官损害多见;早期诊断、早期治疗,能缩短病程、减少并发症的发生。

Clinical Analysis of Mycoplasma Pneumoniae Pneumonia in 112 Children

Objective To investigate the clinical signs and treatment characteristics of mycoplasma pneumonia（MP） in children.Methods A total of 112 children with MP were divided into 2 groups：preschool age group（from 3 to 6 years of age,61 cases） and school age group（over 6 years of age,51 cases）.The clinical data,including clinical signs,laboratory tests and therapeutic effects,were retrospectively analyzed.Results There were no significant differences in clinical symptoms and signs between the two groups（P〈0.05）.However,there were significant differences in imaging findings of interstitial infiltration and fan-shaped infiltration between the two groups（P〈0.05）.There were no obvious differences in segmental or big lobe type infiltration imaging,ECG,myocardial enzymes and hepatic enzymes between the two groups（P〈0.05）.Fifty-six children were cured in preschool age group（cure ratio 91.8%）,and 47 children were cured in school age group（cure ratio 92.2%）,without significant difference between the two groups（P〈0.05）.Compared with preschool age group[（12.1±3.39）d],the length of hospital stay in school group [（14.7±3.4）d] increased significantly（P〈0.01）.Conclusion Pediatric MP is an acute lung disease and has many external lung organ damage,and should be early diagnosed and intervened to shorten the duration of symptoms and reduce the complications.