小儿支原体肺炎67例诊治体会

目的探讨小儿支原体肺炎（MP）的临床特点和早期治疗方法。方法回顾分析67例确诊为支原体肺炎的患儿临床资料,所有患儿均行胸部X片及实验室检查确诊。结果67例患儿均有不同程度的发热与咳嗽症状,起病3天可闻及异常啰音者23例（34.3%）,1周内闻及异常啰音者49例（73.1%）;所有患儿1周内均可见胸部X线表现异常;所有病例均早期应用红霉素、阿奇霉素治疗,结合对症、支持治疗,效果良好。结论小儿支原体肺炎肺部体征常较X线表现晚,早期诊断应结合胸部X线及实验室检查;早期治疗是取得良好效果的关键。

Diagnosis and treatment of 67 children cases with mycoplasma pneumonia

Objective To investigate the clinical features and early treatment approach in the children with mycoplasma pneumonia (MP). Methods Reviewed and analyzed clinical data of 67 children patients who were diagnosed as mycoplasma pneumonia. All patients underwent chest X-ray and laboratory test. Results 67 children patients had fever and cough symptoms to different extent. Unusual objective sign in the chest were found in 23 cases within three days after disease onset (34.3%). 49 cases within a week (73.1%). Abnormal chest X-ray performances were found in all children patients within one week after hospitalization. All cases were treated early with erythromycin and azithromycin, also with anti-sign and supportive treatment. The results were good in all cases. Conclusion Mycoplasma pneumonia in children often has signs of lung X-ray early before unusual objective sign occurred in the chest. It is necessary to combine chest X-ray and laboratory tests for early diagnosis. Early treatment is the key to achieve good results.