探讨肺炎支原体肺炎的临床特点,肺外并发症和诊治措施。方法对有呼吸道症状和体征,血清肺炎支原体抗体阳性的,胸部有改变的肺炎支原体肺炎患儿105例的临床表现,实验室及胸部检查,肺外并发症,治疗与转归进行回顾性分析。结果发病多发生在幼儿及学龄前儿童,其中发热89例,持续性咳嗽97例,其中有痰者91例,喘息12例,62例有肺外并发症,其中消化系统26例,皮肤改变23例,血液系统并发症2例,神经系统并发症7例,心血管系统并发症4例,28例给予口服阿奇霉素治疗,77例给予阿奇霉素静脉输液治疗,51例痊愈,54例好转。结论肺炎支原体肺炎临床病程长,可出现肺外并发症,阿奇霉素治疗安全,疗效尚满意。 To explore the clinical features of Mycoplasma pneumoniae pneumonia, pulmonary complications and diagnosis and treatment measures. Methods The clinical manifestations, laboratory and chest examinations, extrahepatic complications, treatment and outcome of 105 cases of children with mycoplasma pneumonia who had positive respiratory symptoms and signs, positive serum Mycoplasma pneumoniae antibody and chest were retrospectively analyzed. Results Occurrence occurred mostly in preschool children and preschool children, including 89 cases of fever, persistent cough in 97 cases, including 91 cases of sputum, wheezing in 12 cases, 62 cases of extrapulmonary complications, including digestive system in 26 cases, skin changes 23 Cases, 2 cases of complications of blood system, 7 cases of neurological complications, 4 cases of cardiovascular complications, 28 cases were given oral azithromycin treatment, 77 cases were treated with azithromycin intravenous infusion, 51 cases were cured, 54 cases improved. Conclusions Mycoplasma pneumoniae pneumonia has a long clinical course with extrapulmonary complication and azithromycin is safe and the therapeutic effect is still satisfactory.