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目的分析婴幼儿急性肺炎支原体肺炎(MPP)并低氧血症的临床特点及治疗方法。方法对36例婴幼儿MPP合并低氧血症的临床特征及诊治情况进行回顾性分析。男20例,女16例;年龄5个月～2岁11个月;病程12～89d。结果婴幼儿MPP并低氧血症者起病急骤,进展快,多以剧烈咳嗽、喘息症状为主,很快出现呼吸困难及发热,肺部体征多变[19例(52.8%)],容易出现肺外并发症[21例(58.3%)],引起大叶肺实变[7例(19.4%)]。单用大环内酯类抗感染疗效不佳13例(36.1%),呼吸道症状消失时间较长,低氧血症恢复正常时间为8～11d。结论婴幼儿MPP并低氧血症者病情较重,变化快,肺外并发症多见,易于合并大叶性肺炎,治疗应综合考虑,根据病情调整治疗方案。
Objective To analyze the clinical features and treatment of acute mycoplasma pneumoniae pneumonia (MPP) and hypoxemia in infants and young children. Methods The clinical features, diagnosis and treatment of MPP with hypoxemia in 36 infants and young children were analyzed retrospectively. 20 males and 16 females; aged 5 months to 2 years and 11 months; duration of 12 ~ 89d. Results MPP and hypoxemia in infants and young children with acute onset, rapid progress, and more to severe coughing, wheezing symptoms, rapid onset of dyspnea and fever, pulmonary signs change [19 cases (52.8%]], easy Pulmonary complications occurred in 21 patients (58.3%), causing massive lobar consolidation (7 patients (19.4%)]. 13 cases (36.1%) had poor response to macrolides alone, respiratory symptoms disappeared longer, and hypoxemia returned to normal ranged from 8 to 11 days. Conclusions MPP and hypoxemia in infants and young children are experiencing serious changes and rapid changes. The extrapulmonary complications are common and easy to be combined with lobar pneumonia. The treatment should be considered comprehensively and the treatment plan should be adjusted according to the condition.