小儿肺炎衣原体呼吸道感染临床探讨

了解海口地区小儿ＴＷＡＲ感染情况及探讨其临床特点。方法应用聚合酶链反应技术，对９３１例病史较长或普通抗菌素治疗效果差的呼吸道感染病人。结论ＴＷＡＲ是儿童呼吸道感染的重要病原体，应引起我省儿科医师的重视。

A CLINICAL STUDY ON THE RESPIRATORY TRACT INFECTION OF CHILDREN''''S CHLAMYDIA PNEUMONIA

Objective To evaluate the informa tion and to explore the clinical characteristics ofchildren's pneumonia aaseciated with chlamydiaTWAR infection in Haikou area. Methods Thetechnique of polymerase chain reaction (PCR) wasused for the detection of 931 cases of patients whohad inefficacious treatment with using usual antibi otics. Results One hundred zero one out of 931 cas es were seropositive. The total positive rate was10.8%. of them 78 cases were in-patients, withthe mean time of onset of 13. 5 days, age ranged 23dayS to 11 years, and most were pneumonia. 3 caseswere complicated with pleural effusion. All the cas es suffered caugh, and body temperature was mildfever. of them 52. 56 % had wheeze. Arithromycinis a best therapeutic choice. conclusions. The re sults indicated that chlamydia is an importantpathogen of children's respiratory tract infection.We should attach great attention to the high posi tive rate of TWAR infection in children in the clin ical practice.