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目的:探讨儿童肺炎支原体肺炎的临床特点。方法:回顾性分析2004年1月～2009年1月在梧州市妇幼保健院住院的肺炎支原体肺炎患儿的临床表现、相关实验室检查、胸片改变、治疗及转归。结果:肺炎支原体肺炎患儿均以咳嗽、发热为首诊症状,常合并食欲下降、腹泻、乏力、心音低钝、心悸、烦躁、高热惊厥、贫血及皮疹等消化、心血管、神经、血液系统症状。肺部体征阳性率(37.5%)较胸片异常率(100.0%)低。肺炎支原体IgM抗体效价大于1∶80为阳性。血沉、C-反应蛋白大部分升高,且随病情好转而恢复。所有患儿在综合治疗基础上均使用阿奇霉素,疗效良好。结论:肺炎支原体肺炎患儿发病有小龄化趋势,患病率则有上升趋势。肺炎支原体肺炎肺外并发症的发生率较高,控制肺炎支原体感染的同时需注意进行相关辅助检查及对症治疗。
Objective: To investigate the clinical features of children with Mycoplasma pneumoniae pneumonia. Methods: The clinical manifestations, laboratory tests, changes of chest radiograph, treatment and prognosis of children with Mycoplasma pneumoniae pneumonia admitted in Wuzhou Maternal and Child Health Hospital from January 2004 to January 2009 were analyzed retrospectively. Results: Mycoplasma pneumoniae children with cough and fever as the first diagnosis of symptoms, often associated with decreased appetite, diarrhea, fatigue, low heart sound blunted, heart palpitations, irritability, febrile seizures, anemia and rash digestion, cardiovascular, neurological, blood system symptoms . The positive rate of lung signs (37.5%) was lower than that of chest radiograph (100.0%). Mycoplasma pneumoniae IgM antibody titers greater than 1:80 were positive. ESR, C-reactive protein most of the rise, and with the condition improved and restored. All children on the basis of comprehensive treatment with azithromycin, good effect. Conclusion: The incidence of mycoplasma pneumonia in children with the trend of small age, the prevalence is on the rise. Mycoplasma pneumoniae pneumonia extrapulmonary complication rate is higher, control of Mycoplasma pneumoniae infection should pay attention to the relevant auxiliary examination and symptomatic treatment.