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目的分析不同年龄段小儿肺炎支原体(MP)肺炎的临床特征。方法将192例MP肺炎患儿按3个月~3岁以及3~14岁分成婴幼儿组和儿童组,分析两组临床表现及影像学改变。结果不同年龄段在临床症状、胸片、肺外表现上差异显著。婴幼儿组以低中热、喘吼、痰多,肺部湿啰音多见,胸片以点状及片絮状阴影多见,肺外并发症相对少且症状轻;儿童组以高热、干咳为主,肺部体征多不明显,胸片除点状及片絮状阴影外,还有较多大片状阴影,肺外并发症多。结论不同年龄段的小儿MP肺炎临床特征变化大,需综合分析及时诊断和治疗。
Objective To analyze the clinical features of children with Mycoplasma pneumoniae (MP) pneumonia at different ages. Methods A total of 192 children with MP pneumonia were divided into infants and children aged 3 months to 3 years old and 3 to 14 years old. The clinical manifestations and imaging changes of the two groups were analyzed. Results of different age groups in clinical symptoms, chest radiograph, extrapulmonary manifestations of significant differences. Infants and young children with low to medium heat, wheezing, phlegm, lung wet rales more common, chest and punctate punctate shadow more common, relatively less extrapulmonary complications and symptoms; children with high fever, Dry cough, lung signs and more obvious, in addition to punctate chest X-ray film and flakes, there are more large shadows, extrapulmonary complications and more. Conclusion The clinical features of children with MP pneumonia vary greatly in different age groups, and need comprehensive analysis and timely diagnosis and treatment.