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目的了解婴幼儿重症支原体肺炎发病特点,提高其诊断及治疗水平。方法采用回顾性研究方法,对本院救治的35例婴幼儿重症支原体肺炎病例进行临床分析。结果本组重症支原体肺炎28例(80%)的患儿起病急,以咳嗽、喘息、发热为主要临床表现,并很快出现呼吸困难,所有患儿都出现不同程度心衰、呕吐、腹胀等肺外症状,3例并发肺不张。结论婴幼儿重症支原体肺炎病情重,变化快,肺外症状多见,有3例合并肺不张,应引起临床重视。
Objective To understand the characteristics of infantile severe mycoplasma pneumonia and improve the diagnosis and treatment level. Methods A retrospective study was conducted to analyze the clinical data of 35 cases of severe Mycoplasma pneumoniae pneumonia in our hospital. Results 28 cases (80%) of severe Mycoplasma pneumonia in children with acute onset, with cough, wheezing, fever as the main clinical manifestations, and soon dyspnea, all children have varying degrees of heart failure, vomiting, abdominal distension Other extra-pulmonary symptoms, 3 cases of atelectasis. Conclusion Severe mycoplasmal pneumonia in infants and young children is seriously ill and rapidly changing with extrapulmonary symptoms. There are 3 cases with atelectasis, which should arouse clinical importance.