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目的探讨成人肺炎支原体感染的临床表现及治疗经验。方法对68例成人肺炎支原体感染病例的临床资料进行回顾性分析、总结。结果表现为上呼吸道感染20例(29.4%),急性支气管炎28例(41.2%),慢性支气管炎(慢支)急性发作6例(8.8%),肺炎14例(20.6%),可出现肝损害、皮疹、消化道等肺外表现,全部予大环内酯类药物治疗治愈。结论成人肺炎支原体感染以发热、刺激性咳嗽等症状为主,影像学改变多种多样,外周血白细胞大部分正常,C反应蛋白(CRP)可升高,肺炎支原体抗体检测有确诊价值,大环内酯类抗生素疗效显著。
Objective To investigate the clinical manifestations and treatment experience of adult Mycoplasma pneumoniae infection. Methods The clinical data of 68 cases of mycoplasma pneumoniae infection were retrospectively analyzed and summarized. The results showed that there were 20 cases (29.4%) of upper respiratory tract infection, 28 cases (41.2%) of acute bronchitis, 6 cases (8.8%) of acute exacerbations of chronic bronchitis (chronic bronchitis) and 14 cases Damage, rash, digestive tract and other pulmonary manifestations, all to macrolide drug treatment. Conclusion Mycoplasma pneumoniae infection is mainly caused by fever, irritating cough and other symptoms. There are many changes in the imaging, most of the peripheral blood leukocytes are normal, C-reactive protein (CRP) is elevated, and mycoplasma pneumoniae antibody test has definite value. Lactone antibiotics have a significant effect.