小儿肺炎支原体肺炎的临床特点和诊治分析

目的:对小儿肺炎支原体肺炎的临床特点进行分析,总结诊治经验。方法:选取2010年1~12月期间来我院治疗的110例小儿支原体肺炎患者,对这110例患儿的临床诊断、治疗资料进行回顾性分析。结果:患儿的临床体征出现发烧102例(92.73%),阵发性的干咳53例(48.18%),咳痰34例(30.91%),喉头痰鸣22例(20%),气促5例(4.55%);实验室检查发现血白细胞总数为4×109~10×109的81例(73.64%),红细胞的沉降率出现增快的32例(29.09%),乳酸脱氢酶出现升高的11例(10%),肌酸激酶同工酶出现升高的8例(7.27%),B超发现胸腔积液9例(8.18%),胸部X光发现肺不张2例(1.82%);经过治疗,痊愈56例,显效31例,有效11例,无效2例,治疗显效率为79.09%。结论:小儿肺炎支原体肺炎在临床症状虽然存在一定的共性,但是缺乏特征性的临床指征,在治疗早期应用抗生素治疗可以使病情得到及时的控制。

The Young Child Pneumonia Mycoplasma Pneumonia Clinical Characteristics Diagnosis and Treatment Analysis

Objective:To children with mycoplasma pneumonia clinical analysis,summarize the experience of diagnosis and treatment.Methods:From 2010 January to 2010 December in our hospital during the treatment of 110 cases of pediatric mycoplasma pneumonia patients,110 cases of the clinical diagnosis,treatment were retrospectively analyzed.Results:Children with clinical symptoms appear to have a fever in 102 cases(92.73%),53 cases of paroxysmal cough,expectoration(48.18%) in 34 cases(30.91%),22 cases of throat sputum,dyspnea in 5 cases(20%)(4.55%);Laboratory examination showed white blood cell count was 4×109 to 10×109 of 81 patients(73.64%),erythrocyte sedimentation rate is added fast in 32 cases(29.09%),lactate dehydrogenase rise in 11 cases(10%),creatine kinase isoenzyme rise in 8 cases(7.27%),B ultrasound found pleural effusion in 9 cases(8.18%),chest X ray revealed atelectasis in 2 cases(1.82%);after the treatment,56 cases were cured,31 cases,effective in 11 cases,ineffective in 2 cases,treatment success rate 79.09%.Conclusion:The young child pneumonia mycoplasma pneumonia in clinical symptoms although there are some similarities,but the lack of characteristic clinical indications,in the treatment of early antibiotic treatment can make the condition timely control.