论文部分内容阅读
目的探讨儿童肺炎支原体大叶性肺炎的临床特征和治疗原则。方法对30例胸片呈大叶性肺炎改变的肺炎支原体肺炎患儿的临床资料进行回顾性分析。结果发病多集中在学龄前及学龄期儿童,30例均有发热,25例有刺激性干咳,24例有肺外并发症,24例热程≥10d,27例住院时间≥14d。30例先予静脉滴注红霉素,后改阿奇霉素口服序贯治疗,合并细菌感染者加用头孢菌素类治疗,伴有胸腔积液和中毒症状重者,给予地塞米松和人丙种球蛋白治疗。治疗2周后复查X线胸片肺部实变影较前明显吸收,治疗4周左右肺部病变基本吸收。结论儿童肺炎支原体大叶性肺炎症状重,肺外并发症发生率高,常有多脏器损伤,病情恢复慢、疗程长,但经4周左右正规治疗,均能痊愈出院。
Objective To investigate the clinical features and treatment of Mycoplasma pneumoniae pneumonia in children. Methods The clinical data of 30 children with mycoplasma pneumonia who had lobular pneumonia with chest radiograph were retrospectively analyzed. Results Most of the cases were found in pre-school and school-age children. All of them had fever in 30 cases, irritating dry cough in 25 cases, extrahepatic complications in 24 cases, warm-up in 24 cases ≥10 days, and stay in hospital for 27 days ≥14 days. 30 cases of first intravenous infusion of erythromycin, azithromycin was changed after oral sequential treatment of patients with bacterial infection plus cephalosporins treatment, accompanied by pleural effusion and poisoning were severe dexamethasone and human gamma bulbs Protein therapy. After 2 weeks of treatment, X-ray chest radiographs were obviously absorbed before the treatment. The lung lesions were basically absorbed after 4 weeks of treatment. Conclusion Children with Mycoplasma pneumoniae symptoms of lobar pneumonia, high incidence of extra-pulmonary complications, often multiple organ injury, the condition slow recovery, long course of treatment, but after about 4 weeks of regular treatment, can be cured and discharged.