儿童重症肺炎支原体肺炎的临床特点分析及预后研究

目的：对儿童重症肺炎支原体肺炎的临床特点和预后进行分析与研究。方法：随机选取2013年7月～2014年7月于本院诊治的105例儿童支原体肺炎（MPP）患者的临床资料进行回顾性分析，其中52例为重症患者（研究组），53例为轻症患者（对照组），比较两组临床特点及预后情况。结果：对照组呼吸困难、心动过速、三凹征、平均热程均显著优于研究组，有统计学意义（P〈0．05）；研究组胸部影象显示大片状类型94．23％，显著高于对照组1．87％，且斑片或云絮状5．77％，显著低于对照组98．13％（P〈0．05）；随访8例重症患者中，存在1（12．50％）例并发支气管扩张。结论：对于儿童重症肺炎MPP，临床需予以高度重视并尽早进行治疗，以防止疾病蔓延造成不良的不利后果。

Clinical characteristics analysis and prognosis research of severe pediatric mycoplasma pneumonia

Objective： To analyze and study the clinical characteristics and prognosis of severe pediatric mycoplasma pneumonia. Methods： Medical information of 105 cases with severe pediatric mycoplasma pneumonia in our hospital from July, 2013 to July, 2014 were randomly selected and retrospectively analyzed, 52 cases of severe diseases（ the research group ） and 53 cases of slight diseases （ the control group ）, the clinical features and prognosis of the two groups were compared. Results： The degrees of dyspnea, tachycardia, three Heartbeat concave syndrome, average duration of fever in the control group were superior to those of the research group with statistical significance（P〈0.05 ） ; in the research group, the big cloud shape accounted for 94.23%, significantly higher than that of the control group 1.87%; the patch or cloud wadding shape accounted for 5.77%, markedly lower than that of the control group 98.13% （P〈0.05） ; 8 cases of severe cases were followed up, one case （12.50%） complicated with bronchiectasis. Conclusion： For severe pediatric mycoplasma pneumonia, higher attention should be taken in order to prevent the spread of the disease caused by the adverse consequences.