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目的:探讨婴幼儿肺炎支原体感染的临床特征、诊断及治疗。方法:回顾性分析经临床及病原学检查确诊的肺炎支原体感染45例住院婴幼儿。结果:婴幼儿支原体肺炎多以下呼吸道感染为主,肺外并发症以消化系统、循环系统为主,其他如神经、皮肤、泌尿系统亦多受累,临床症状和病原学检查可对其确诊。治疗首选阿奇霉素、红霉素,亦应注意综合治疗及肾上腺皮质激素的使用。结论:婴幼儿肺炎支原体肺炎临床表现多种多样、病情重、并发症多,病原学对婴幼儿肺炎支原体感染诊断有重要意义。对以呼吸道外症状为主要表现的病例要注意早发现、早诊断,及时给予足量阿奇霉素、红霉素治疗,预后较好。
Objective: To investigate the clinical characteristics, diagnosis and treatment of Mycoplasma pneumoniae infection in infants and children. Methods: A retrospective analysis of 45 cases of Mycoplasma pneumoniae infection confirmed by clinical and etiological examination. Results: Mycoplasma pneumonia in infants and young children were mostly following respiratory tract infections. The extra-pulmonary complications mainly consisted of digestive system and circulatory system. Others such as nerve, skin and urinary system were also involved. Clinical symptoms and etiological examination could be used to confirm the diagnosis. Azithromycin preferred treatment, erythromycin, should also pay attention to the comprehensive treatment and the use of adrenal cortex hormones. Conclusion: Mycoplasma pneumoniae pneumonia in infants and young children with various clinical manifestations, severe illness, complications, etiology of infantile Mycoplasma pneumoniae infection is important. Of respiratory symptoms as the main manifestation of the cases should pay attention to early detection, early diagnosis, timely and adequate azithromycin, erythromycin treatment, the prognosis is good.