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目的对难治性肺炎支原体肺炎的临床特征与相关的危险因素进行分析探讨。方法将本院在2014-2015年收治的难治性肺炎支原体肺炎患儿共计50例与普通型肺炎支原体肺炎患儿共计50例作为研究资料,对其一般资料的差异进行分析,并进行多因素Logistic回归分析疾病的危险因素。结果和普通的支原体肺炎进行比较,难治性支原体肺炎患儿的年龄比较大、热程比较长,肺部的大片实变影合并胸腔积液的比例比较高,患儿的白细胞、中性粒细胞的比例与C反应蛋白的水平也比较高,经过比较,有显著的统计学意义(P均<0.05)。应用Logistic回归分析,应用影像学检测表现为合并胸腔积液、是不是在早期运用了激素、CRP上升是儿童难治性支原体肺炎的临床危险因素,经比较,有显著的统计学意义(P均<0.05)。结论肺部影像学检查结果表现为大片的实变影合并胸腔积液、C反应蛋白上升显著,这是诊断难治性支原体肺炎的主要依据,对于难治性支原体肺炎患者要早期应用激素治疗,方能取得较好的效果。
Objective To analyze the clinical characteristics of refractory Mycoplasma pneumoniae pneumonia and related risk factors. Methods A total of 50 cases of children with refractory mycoplasma pneumoniae pneumonia and 50 cases of common mycoplasma pneumoniae pneumonia in our hospital from 2014 to 2015 were selected as the research data to analyze the differences of general data and to carry out multifactorial Logistic regression analysis of disease risk factors. Results Compared with the common mycoplasma pneumonia, children with refractory mycoplasma pneumonia were older, had longer thermal history, and had a higher proportion of massive consolidation of the lung with pleural effusion. The percentage of white blood cells, neutrophils The proportion of cells and the level of C-reactive protein were also higher, after comparison, there was significant statistical significance (all P <0.05). Logistic regression analysis showed that the application of imaging examination showed pleural effusion, is not the early use of hormones, CRP rise in children with refractory mycoplasma pneumonia clinical risk factors, compared with significant statistical significance (P <0.05). Conclusion The results of pulmonary imaging examination showed massive real consolidation with pleural effusion, C-reactive protein increased significantly, which is the main basis for the diagnosis of refractory mycoplasma pneumonia, for patients with refractory mycoplasma pneumonia early hormone therapy, In order to achieve better results.