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目的探讨支原体(MP)肺炎肺外并发症的发病特点,提高其诊断与治疗水平。方法对本院收治56例支原体肺炎及其肺外并发症进行临床分析。结果 56例支原体肺炎有肺外并发症者32例(57.1%),其中胸腔积液3例(9.4%),心肌受累8例(21.8%),神经系统受累8例(25%),消化系统受累10例(31.2%),泌尿系统受累3例(9.4%),出现皮疹1例(3.1%)。结论支原体肺炎肺外并发症发生率较高(57.1%)。其中以消化、神经、心肌受累多见,一般多在呼吸道症状出现后10d左右出现,特别是以肺外表现为首发症状患儿更易导致误诊,应引起临床医师重视。本组病例除自动出院2例好转外,均为治愈出院。说明合理治疗MP感染,其并发症的转归大都能随着MP肺炎治愈而恢复正常。
Objective To investigate the incidence of pulmonary complications of mycoplasma pneumonia (MP) and to improve its diagnosis and treatment. Methods 56 cases of mycoplasma pneumonia admitted in our hospital and their extra pulmonary complications were analyzed. Results Of the 56 mycoplasmal pneumonia patients, there were 32 cases (57.1%) with extrapulmonary complication, including pleural effusion in 3 cases (9.4%), myocardial involvement in 8 cases (21.8%), nervous system involvement in 8 cases (25%), digestive system Ten cases were involved (31.2%), urinary system involvement was 3 cases (9.4%) and rash was found in 1 case (3.1%). Conclusions Mycoplasma pneumonia is associated with a higher incidence of extrapulmonary complications (57.1%). Among them, digestive, neurological and myocardial involvement are more common, usually appear more than 10d after the onset of respiratory symptoms, especially in patients with extra pulmonary manifestations as the first symptom more easily lead to misdiagnosis should be caused by clinicians attention. In addition to the two cases of patients discharged automatically improved, were cured discharged. Reasonable treatment of MP infection, the outcome of most of the complications can be cured with MP pneumonia returned to normal.