小儿社区获得性肺炎62例病例分析

目的为了提高对小儿社区获得性肺炎的病原诊断水平及治疗效果。方法选择自2004年5月～2006年2月本社区14岁以下社区获得性肺炎患儿62例为观察对象。采用咽部分泌物细菌培养，血清支原体IgM检测，2岁以下小儿6例，同时作呼吸道合胞病毒、腺病毒PCR检测。结果病原诊断的阳性率为30／62（48．4％），其中，14例为肺炎链球菌肺炎，11例为支原体肺炎，3例为合胞病毒肺炎，2例为腺病毒肺炎。结论肺炎链球菌肺炎，支原体肺炎是本社区小儿时期最常见的肺炎。细菌性肺炎是重症肺炎的重症病原。

The Analyses to 62 Disease Cases for Child Community-gained Pneumonia

Objective In order to improve the diagnosis level of sickness cause and treatment effects to child community-gained pneumonia. Methods We chose 62 younger-than-fourteen-year child community-gained pneumonia patients as observatory objectives in the community during May 2004 to February 2006. We used the methods of gorge excretion bacteria culture and serum mycoplasma Igm test, meanwhile, used respiratory syncytiotoxin and adenovirus PRC test to 6 younger-than-two-year patients. Results For the result of diagnosis for sickness cause, 30 of the 62 are positive, the positive percentage is 48.4%. In 62 cases, pneumonia strepto-pneumonia 14, mycoplasma pneumonia 11 cases, syncytiotoxin pneumonia 3 cases, adenovirus pneumonia 2 cases. Conclusion Pneumonia strepto-pneumonia and mycoplasma pneumonia are the most frequent pneumonias to the children in our community. Bacterial pneumonia is the main cause to serious pneumonia.