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121例儿童支原体肺炎临床分析
引用本文:王秀丽,饶晓红,刘进生,郑武田.121例儿童支原体肺炎临床分析[J].安徽医药,2011,15(4):448-450.
作者姓名:王秀丽  饶晓红  刘进生  郑武田
作者单位:安徽省合肥市第二人民医院儿科,安徽,合肥,231000;安徽省合肥市第二人民医院儿科,安徽,合肥,231000;安徽省合肥市第二人民医院儿科,安徽,合肥,231000;安徽省合肥市第二人民医院儿科,安徽,合肥,231000
摘    要:目的探讨支原体肺炎的临床特点。方法对121例确诊为肺炎支原体肺炎(MPP)患儿的临床特点进行回顾性分析。结果 121例MPP患儿中婴幼儿组、学龄前组及学龄组分别占28.9%,23.1%和47.9%。临床主要表现为发热和持续咳嗽,婴幼儿组咳痰、喘息症状和肺部湿性相对较多,体温相对低;学龄组儿童多表现为中高热,干咳症状重,肺部体征轻(P<0.05)。X线表现多样,以小叶实质浸润和肺段实质浸润常见,婴幼儿和学龄前儿童以小叶实质浸润为主,学龄儿童以肺段实质浸润多见。66例有肺外并发症,累及多个系统。结论 MPP好发于学龄期儿童,婴幼儿发病率有所上升。肺外并发症可累及多个系统,不同年龄组儿童MPP临床特点存在一定差异,血清Mp-IgM检测有助于临床诊断。

关 键 词:肺炎  肺炎支原体  肺外并发症  儿童

Clinical analysis of mycoplasma pneumoniae in 121 cases of children
WANG Xiu-li,RAO Xiao-hong,LIU Jin-sheng,ZHENG Wu-tian.Clinical analysis of mycoplasma pneumoniae in 121 cases of children[J].Anhui Medical and Pharmaceutical Journal,2011,15(4):448-450.
Authors:WANG Xiu-li  RAO Xiao-hong  LIU Jin-sheng  ZHENG Wu-tian
Institution:WANG Xiu-li,RAO Xiao-hong,LIU Jin-sheng,ZHENG Wu-tian(Pediatrics Department,Hefei Second People's Hospital,Hefei 231000)
Abstract:Aim To study the clinical characteristics and treatment of children with mycoplasma pneumoniae(MPP).Methods The clinical characteristics of 121 children with MPP were analyzed retrospectively.Results Infant,preschool and school-age group accounted respectively for 28.9%,23.1% and 47.9% of 121 childrens with MPP.The major clinical characteristics showed fever and persistent coughs.Infants had more wet coughs,wheezings,wet rales and lower fever,school-aged children showed moderate or high fever,severe nonprod...
Keywords:pneumonia  myeoplasma pneumoniae  extrapulmonary  child  
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