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目的:分析节段性肺炎支原体肺炎(SMPP)的临床特点。方法:回顾性分析SMPP患儿32例的临床表现、治疗及转归。结果:发病多集中在学龄前及学龄期儿童。发热29例,咳嗽31例,伴喘息4例;累及单叶肺25例,同时累及双肺或多叶7例。有胸腔积液、皮疹、消化系统、泌尿系统、神经系统、心血管系统和血液系统并发症分别约6.2%、18.7%、12.5%、9.3%、9.3%、6.2%和6.2%。治疗后29例痊愈,3例好转。结论:SMPP好发于学龄儿童,易发生肺外并发症,红霉素、阿奇霉素治疗安全、有效。
Objective: To analyze the clinical features of segmental Mycoplasma pneumoniae pneumonia (SMPP). Methods: The clinical manifestations, treatment and prognosis of 32 children with SMPP were retrospectively analyzed. Results: The incidence of more concentrated in preschool and school-age children. Fever in 29 cases, cough in 31 cases, with wheezing in 4 cases; involving single leaf lung in 25 cases, involving both lungs or more leaves in 7 cases. There were about 6.2%, 18.7%, 12.5%, 9.3%, 9.3%, 6.2% and 6.2% of complications of pleural effusion, rash, digestive system, urinary system, nervous system, cardiovascular system and hematological system. After treatment 29 cases recovered, 3 cases improved. Conclusion: SMPP occurs in school-age children, prone to pulmonary complications, erythromycin, azithromycin safe and effective.