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目的:总结肺炎衣原体(CP)肺炎暴发流行的临床特征及治疗方法。方法:收集2009-01-04-2009-03-01中国医科大学附属第四医院暴发流行12例医护人员CP肺炎咽试纸标本,应用聚合酶链反应(PCR)监测DNA,使用微量免疫荧光技术检测CP的IgG和IgM抗体,同时对肺高分辨CT结果进行分析,并评价疗效。结果:本组暴发流行的CP肺炎其病原学介于CP与鹦鹉热衣原体之间的一种兵役的衣原体种,且更倾向于鹦鹉热衣原体。结论:医护人员CP肺炎的暴发流行具有群体发病,早期高分辨CT检查更能真实地反映病变大小、多少和分布范围;诊断时应与严重急性呼吸综合症、禽流感、支原体肺炎等进行鉴别;氟喹诺酮类联合大环内酯类药物治疗有效。
Objective: To summarize the clinical characteristics and treatment of pneumonia (CP) pneumonia outbreak. Method: Collecting 2009-01-04-2009-03-01 Outbreak of CP pulmonary inflammation pharyngeal test paper in 12 outpatients in the Fourth Affiliated Hospital of China Medical University, DNA was detected by polymerase chain reaction (PCR) and detected by micro-immunofluorescence CP IgG and IgM antibodies, lung high-resolution CT results were analyzed, and evaluate the efficacy. RESULTS: The CP pneumonia outbreaks in this group were atypical pneumonia and were more likely to be Chlamydia psittaci, a form of military service between CP and Chlamydia psittaci. CONCLUSION: CP pneumonia outbreaks among medical workers have group onset. Early high-resolution CT examination can truly reflect the size, size and distribution of lesions; diagnosis should be distinguished from severe acute respiratory syndrome, bird flu and mycoplasma pneumonia. Fluoroquinolones and macrolides effective treatment.