论文部分内容阅读
对226例2周—3月感染性肺炎住院患儿鼻咽标本行McCoy细胞培养分离沙眼衣原体（Ct），阳性率20.9％（40/191），原代有细菌污染标本35例。Ct阳性患儿临床特点是：以气促（100％）和阵阵单咳（85.0％）为特征，有低热（60％）或无热（37.5％），仅1例并发消化道感染者体温39℃，常有结膜炎（史）40.0％；常有紫绀70.0％和中细湿啰音（67.5％），喘鸣较少（17.5％）。胸片示双侧浸润性阴影和过度充气。白细胞正常，嗜酸性细胞计数正常。从起病到出院平均病程21天（9—60天），67.5％患儿出院时仍有轻咳等症状。
Samples of 226 nasopharyngeal specimens of hospitalized children with infectious pneumonia from 2 weeks to 3 months were divided into two groups. McCoy cells were used to isolate C. trachomatis (Ct), the positive rate was 20.9% (40/191). There were 35 primary bacterial contamination samples. The clinical features of Ct-positive children were as follows: mild (100%) and single cough (85.0%), with low fever (60%) or no fever (37.5%), only 1 patient with gastrointestinal infection 39 ℃, often conjunctivitis (history) 40.0%; often cyanosis 70.0% and fine wet rales (67.5%), wheezing less (17.5%). Chest radiograph showed bilateral infiltration of shadow and over-inflated. Normal white blood cells, eosinophil count normal. From onset to discharge the average duration of 21 days (9-60 days), 67.5% of children still have cough and other symptoms when discharged.