| 婴幼儿肺炎支原体肺炎79例临床分析 |
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| 引用本文： | 张莹,赵顺英.婴幼儿肺炎支原体肺炎79例临床分析[J].临床儿科杂志,2011,29(8). |
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| 作者姓名： | 张莹 赵顺英 |
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| 作者单位： | 1. 广州市妇女儿童医疗中心,广东广州,510120
2. 首都医科大学附属北京儿童医院,北京,100045 |
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| 摘 要： | 目的 探讨婴幼儿肺炎支原体肺炎(MPP)的临床及影像学特点和预后.方法 分析79例MPP患儿的临床表现、影像学及实验室检查结果、治疗及预后.结果 婴幼儿MPP 1岁以上者多见,临床表现以发热、有痰咳嗽为主,70%有喘息,半数可闻及肺部湿啰音和(或)喘鸣音,95%伴有肺外损害,其中心肌酶升高最为常见.双肺均可受累,局部病变部位以右、中下肺受累最常见,多见斑片影、片状密度增高影.病程10 d之后MP-IgM检测100%阳性.多数血细胞计数和C反应蛋白在正常范围.50%以上患儿出现CD4+细胞比值降低,73%总IgE升高.绝大多数患儿存在小气道通气功能损害.19%的患儿表现为重症/难治性肺炎,2例遗留支气管扩张和闭塞性细支气管炎(bronchiolitis obliterans,BO)改变,多数病程中出现喘息者随访1年不再发生喘息.结论 除一般表现外,婴幼儿也可出现重症/难治性MPP(SMPP/RMPP).MPP可继发免疫紊乱、小气道功能障碍,个别病例可出现BO和局限性支气管扩张.
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| 关 键 词： | 肺炎支原体肺炎 婴幼儿 临床表现 |
Clinical analysis of Mycoplasma pneumoniae pneumonia in 79 infants and young children |
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| ZHANG Ying,ZHAO Shun-ying.Clinical analysis of Mycoplasma pneumoniae pneumonia in 79 infants and young children[J].The Journal of Clinical Pediatrics,2011,29(8). |
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| Authors: | ZHANG Ying ZHAO Shun-ying |
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| Institution: | ZHANG Ying,ZHAO Shun-ying(Beijing Children's Hospital Affiliated to Capital Medical University,Beijing 100045,China) |
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| Abstract: | Objective To investigate clinical manifestations and radiological findings and prognosis of Mycoplasma pneumoniae pneumonia(MPP)in younger children.Methods Clinical manifestations,radiographic fin-dings,laboratory examinations,treatment effect,and sequelae of 79 children under 3 years old with MPP were analyzed.Results MPP was seen more in young children older than 1 year old.The common clinical manifestations were cough,fever and wheezing.Some patients developed shortness of breath or dyspnea.Scattered ral... |
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| Keywords: | Mycoplasma pneumoniae pneumonia infant clinical manifestation |
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