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目的提高对小儿肺炎支原体感染的临床认识和诊治水平。方法对2006年1月—2008年6月104例肺炎支原体感染患儿的临床特点及Mp-IgM的变化动态随访。结果发病年龄多为学龄前儿童,4～7岁占46%,持续性咳嗽为主要症状,所有患儿用阿奇霉素治疗效果良好。结论小儿肺炎支原体感染好发于学龄前儿童,可致上呼吸道感染、支气管炎、支气管肺炎,联合Mp-IgM检测,有利于早期诊断。
Objective To improve the clinical knowledge and diagnosis and treatment of Mycoplasma pneumoniae infection in children. Methods The clinical features and changes of Mp-IgM in 104 children with mycoplasma pneumoniae infection from January 2006 to June 2008 were followed up. Results The age of onset was mostly preschool children, accounting for 46% of patients aged 4 to 7 years. Persistent cough was the main symptom. All patients were treated with azithromycin well. Conclusions Mycoplasma pneumoniae infection occurs in preschool children. It can cause upper respiratory tract infection, bronchitis and bronchial pneumonia combined with Mp-IgM test, which is good for early diagnosis.