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我院儿科自1989年5月至1995年12月收治婴幼儿支原体肺炎38例,占同期支原体肺炎142例的26.76％,其中误诊31例,误诊率达81.58％,为进一步探讨婴幼儿支原体肺炎的临床特点。提高婴幼儿支原体肺炎的诊治水平,现总结报告如下。 1 临床资料 1.1一般资料男22例,女16例。7个月至1岁8例,～3岁30例。发热25例,其中低热10例,中热6例,高热9例,热型多呈驰张热。咳嗽35例,咳嗽均为刺激性、阵发性、连续性咳嗽,以夜间或清晨为著。喘息20例,口周紫绀4例,均为婴儿。肺部听诊:肺呼吸音粗4例,呼吸音低1例,可闻及干鸣或哮鸣音
Pediatrics in our hospital from May 1989 to December 1995 38 cases of infantile mycoplasma pneumonia were admitted, accounting for 26.76% of 142 cases of mycoplasma pneumonia in the same period, of which 31 cases were misdiagnosed, the misdiagnosis rate was 81.58%. In order to further explore the infant mycoplasma pneumonia Clinical features. Improve the diagnosis and treatment of mycoplasma pneumonia in infants and young children, are summarized as follows. 1 Clinical data 1.1 General Information 22 males and 16 females. 7 months to 1 year old in 8 cases, ~ 3 years old in 30 cases. 25 cases of fever, including 10 cases of mild fever, 6 cases of moderate fever, 9 cases of fever, hot type mostly Chi Zhang fever. Cough in 35 cases, cough are irritating, paroxysmal, continuous cough, at night or early morning. Gastropathy in 20 cases, 4 cases of periorbital cyanosis, are infants. Pulmonary auscultation: pulmonary breath sounds coarse 4 cases, 1 case of low respiratory sounds, can be heard and dry Ming or wheeze