维吾尔族肺炎衣原体肺炎108例临床分析

目的探讨肺炎衣原体感染的临床特点。方法采用酶联免疫吸附法（ELISA）测定108例患儿血清肺炎衣原体（CP）抗体,并观察CP阳性者的临床症状、体征、X线、实验室检查和治疗结果。结果 108例维吾尔族患儿咳嗽以阵发性干咳为主,61%有发热,住院后发热平均持续1.9 d;68.5%C反应蛋白（CRP）正常,64.8%周围血白细胞计数正常。合并肺炎支原体、细菌、EB病毒感染者分别为22.2%,18.5%,14.8%。0岁~5岁患儿胸部X线以双侧病变为主,~14岁儿童以单侧病变为主;大环内酯类使用率为90.7%。结论肺炎衣原体是儿童期下呼吸道感染常见病原体之一,肺炎衣原体肺炎病程较长,中毒症状轻,以干咳为主;CRP、周围血白细胞计数大多正常;胸部X线改变有年龄差别;CP所导致的下呼吸道感染治疗以大环内酯类药物为首选药物。

Uighur chlamydia pneumoniae pneumonia clinical analysis of 108 cases

Objective The clinical features of Chlamydia pneumoniae infection.Methods Measured by ELISA of serum cp antibody,and to observe the cp the positive clinical symptoms and signs,X-ray,laboratory tests and treatment summary clinical data.Results 108 cases of the Uighurs children cough paroxysmal dry cough,61% have a fever,the average duration of fever after hospitalization 1.9d;68.5% CRP properly,64.8% of the peripheral blood leukocyte count was normal.Combined Mycoplasma pneumoniae,bacteria,EB virus infection were as follows： 22.2%,18.5%,14.8%.0 to 5-year-old group,the chest X-ray to bilateral lesions mainly to 14 age group with unilateral lesions;macrolide use was 90.7%.Conclusion Chlamydia pneumoniae（cp）is one of the common pathogens of childhood respiratory infections,pneumonia chlamydia pneumoniae longer course poisoning symptoms were mild,dry cough;CRP,most of the peripheral blood leukocyte count normal;chest X-ray changes with the age difference;drug of choice for the treatment of lower respiratory tract caused by cp macrolides.