目的探讨小儿支原体肺炎的临床特点及治疗方法。方法回顾性分析小儿支原体肺炎60例的临床资料。结果年龄最小3个月,患儿多在5岁以上。临床表现为持续剧烈咳嗽,发热,小婴儿可出现喘憋。白细胞大多数正常或稍增高,X线胸片表现为肺纹理增多,以一侧小片状阴影,肺门影增浓模糊为主,可为单侧或多侧;约1/5患儿有少量胸腔积液。所有病例使用阿奇霉素治疗,预后良好。结论小儿肺炎支原体肺炎好发于学龄儿童,常伴有合并症,容易误诊、漏诊,应加以重视,提高该病的确诊率。本组阿奇霉素治疗均有效。 Objective To investigate the clinical features and treatment of pediatric mycoplasma pneumonia. Methods The clinical data of 60 children with mycoplasma pneumonia were retrospectively analyzed. The results of the youngest 3 months, more than 5 years old children. Clinical manifestations of sustained severe cough, fever, wheezing can occur in small infants. Most of normal or slightly increased white blood cells, chest X-ray showed increased lung texture, with a small shadow on the side of the shadow of the hilar enhancement thickening can be unilateral or multiple; about 1/5 children have Small amount of pleural effusion. All cases treated with azithromycin, the prognosis is good. Conclusions Mycoplasma pneumoniae mycoplasma pneumonia occurs in school-age children, often accompanied by complications, easily misdiagnosed, missed diagnosis, should pay attention to improve the diagnosis rate of the disease. Azithromycin in this group were effective.