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目的比较小儿肺炎支原体(MP)支气管肺炎和大叶性肺炎的临床与免疫特征。方法5岁以下MP肺炎(MPP)患儿167例,依影像表现分为支气管肺炎114例(A组)和大叶性肺炎53例(B组)。比较两组临床特征和相关免疫相关指标。结果与B组比较,A组喘息比例高,发热比例低,而年龄较小(P<0.05);B组的中性粒细胞、CD3-CD8+、C反应蛋白和IgA均高于A组,而淋巴细胞和CD4/CD8低于A组(P<0.05)。结论小儿MP支气管肺炎和大叶性肺炎的临床与免疫特征有一定差异。
Objective To compare the clinical and immunological characteristics of children with Mycoplasma pneumoniae (MP) bronchopneumonia and lobar pneumonia. Methods A total of 167 children with MP pneumonia (MPP) under 5 years of age were divided into bronchoalveolar pneumonia (A group) and lobar pneumonia (B group) according to the imaging findings. The clinical characteristics and related immune related indicators were compared between the two groups. Results Compared with group B, group A had a higher rate of wheezing, a lower rate of fever, and a younger age (P <0.05); neutrophils, CD3-CD8 +, C-reactive protein and IgA in group B were higher than those in group A Lymphocytes and CD4 / CD8 were lower than those in group A (P <0.05). Conclusion The clinical and immunological characteristics of children with bronchial pneumonia and lobar pneumonia are different.