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目的:进一步提高对小儿支原体肺炎的认识及诊断水平。方法:对2008年以来我院住院诊治的100例小儿支原体肺炎X线表现及临床进行总结分析结果:肺部X线表现多样,肺间质炎症病变29例(占29%),肺泡炎症性病变19例(占19%),混合性病变52例(占52%),其中伴有胸膜炎12例(占12%)。肺部X线表现早于肺部体征出现。病程1周左右血冷凝集试验和支原体抗体阳性全部阳性。临床应用阿奇霉素治疗有显著疗效。结论:支原体肺炎X线表现各异,无特异性,易与支气管肺炎、大叶性肺炎相混淆,故需结合临床及实验室检查才能正确诊断。
Objective: To further enhance awareness and diagnosis of mycoplasma pneumonia in children. Methods: The clinical manifestations and clinical manifestations of 100 cases of Mycoplasma pneumoniae pneumonia in our hospital since 2008 were analyzed. Results: There were 29 cases of pulmonary interstitial inflammatory lesions (29%), alveolar inflammatory diseases 19 cases (19%), mixed lesions in 52 cases (52%), with pleurisy in 12 cases (12%). Pulmonary X-ray findings appear earlier than the lungs. 1 week duration of blood coagulation test and mycoplasma antibody positive all positive. Clinical application of azithromycin has a significant effect. Conclusion: Mycoplasma pneumonia with different manifestations of X-ray, non-specific, easy and bronchial pneumonia, lobar pneumonia phase confusion, it requires a combination of clinical and laboratory tests in order to correct diagnosis.