1例儿童肺炎支原体肺炎合并肺栓塞临床分析

目的：探讨肺炎支原体肺炎合并肺栓塞的临床表现、诊断和治疗要点。方法：回顾性分析1例肺炎支原体肺炎合并肺栓塞患儿的临床特征及诊疗经过。结果：患儿在抗感染治疗过程中出现了胸痛、咯血的症状，D-二聚体>20 mg/L，经检查明确存在肺栓塞，经抗感染、激素抑制炎性反应，低分子肝素钙、阿司匹林抗凝等治疗，患儿症状明显好转，复查D-二聚体降至1.1 mg/L。随访复查胸CTA未见肺栓塞征象，肺内病变吸收。结论：肺炎支原体肺炎患儿在治疗过程中，如出现胸痛、咯血、D-二聚体升高，需注意肺栓塞的发生，早期诊断、积极抗凝治疗是诊治的关键。

Clinical Analysis of One Child with Mycoplasma Pneumoniae Pneumonia Complicated with Pulmonary Embolism

Objective: To probe into the clinical manifestations, diagnosis and treatment of Mycoplasma pneumoniae pneumonia complicated with pulmonary embolism. Methods: Retrospective analysis was conducted on clinical characteristics and diagnosis and treatment of one child with Mycoplasma pneumoniae pneumonia complicated with pulmonary embolism. Results: During the anti-infection treatment, the child developed chest pain and hemoptysis. D-dimer was >20 mg/L. After examination, it was confirmed that there was pulmonary embolism, and after treatment with anti-infection, hormone suppression of inflammatory response, low molecular weight heparin calcium and aspirin anticoagulation, the symptoms of the child were improved significantly. And D-dimer decreased to 1.1 mg/L. Follow-up review of chest CTA showed no signs of pulmonary embolism, and pulmonary lesions were absorbed. Conclusion: Pulmonary embolism may accompanied by chest pain, hemoptysis and D-dimer elevation in children with Mycoplasma pneumoniae pneumonia during treatment. Early diagnosis and actively anticoagulation treatment is the key to obtain better prognosis.