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目的分析大学生肺炎支原体感染的临床特点及治疗经验。方法对我院2009年6月~2013年5月肺炎支原体感染病例的临床资料进行回顾性分析、总结。结果表现为上呼吸道感染58例(69%),急性支气管炎22例(26.2%),肺炎4例(4.8%);肺外表现9例((10.7%),其中,皮疹3例(3.6%)、消化系统症状4例(4.8%)、关节痛2例(2.4%)。全部首选大环内酯类药物治疗,效果不佳或副作用较大时改用喹诺酮类,合并细菌感染时联用头孢菌素。结论大学生肺炎支原体感染以刺激性咳嗽为主,干咳或伴少量白痰,症状相对较轻,可出现肺外表现,外周血白细胞计数多正常,肺炎支原体抗体检测有诊断意义;大环内酯类疗效显著,合并细菌感染时可联合应用β-内酰胺类。
Objective To analyze the clinical characteristics and treatment experience of mycoplasma pneumoniae in university students. Methods The clinical data of mycoplasma pneumoniae in our hospital from June 2009 to May 2013 were retrospectively analyzed and summarized. Results showed 58 cases (69%) of upper respiratory tract infection, 22 cases (26.2%) of acute bronchitis, 4 cases (4.8%) of pneumonia and 9 cases (10.7% ), Digestive system symptoms in 4 cases (4.8%) and arthralgia in 2 cases (2.4%). All the preferred macrolide therapy, the effect is not good or side effects of larger use of quinolones, combined with bacterial infection Cephalosporins.Conclusion Mycoplasma pneumoniae infection in university students mainly with irritating cough, dry cough or with a small amount of white sputum, the symptoms are relatively mild, there may be extrapulmonary manifestations, peripheral blood leukocyte count more than normal, Mycoplasma pneumoniae antibody detection has diagnostic significance; Cyclic lactones significant effect, combined bacterial infection can be combined with β-lactams.