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目的探讨小儿肺炎支原体肺炎的临床表现、肺外并发症及胸部X线特点,提高临床经验性诊疗水平。方法对2009年1月至2012年10月诊治的肺炎支原体肺炎347例患儿的临床资料进行回顾性分析。结果婴幼儿肺炎支原体肺炎发近年病率有增加趋势,临床表现可无发热,以喘憋、肺部罗音多见,肺外并发症少,胸部X线多表现为支气管肺炎;学龄前及学龄儿童仍为小儿肺炎支原体肺炎好发年龄,临床表现多以发热、咳嗽为主,肺部体征少,肺外并发症多,胸部X线多表现为小斑片状或大片状阴影,右肺多见。结论小儿肺炎支原体肺炎临床表现轻重不一,不同年龄段临床及影像学特点差异很大,诊疗工作中要予以重视。
Objective To investigate the clinical manifestations, extrapulmonary complications and chest X-ray features of children with mycoplasma pneumoniae pneumonia and to improve the clinical experience. Methods The clinical data of 347 children with mycoplasma pneumoniae pneumonia diagnosed and treated from January 2009 to October 2012 were analyzed retrospectively. Results The incidence of Mycoplasma pneumoniae pneumonia in infants and young children increased in recent years. The clinical manifestations were no fever, wheezing, common pulmonary rales, few pulmonary complications, and chest X-ray showed bronchopneumonia. Pre-school and school-age Children are still children with Mycoplasma pneumoniae pneumonia onset age, clinical manifestations and more fever, cough, less lung signs, extrapulmonary complications, chest X-ray showed small patchy or large patchy shadows, the right lung More common. Conclusion The clinical manifestations of Mycoplasma pneumoniae Mycoplasma pneumonia vary in severity. Clinical and radiographic features vary widely among different ages, and attention should be paid in diagnosis and treatment.