摘要
目的探讨成人肺炎支原体感染的临床表现及治疗经验。方法对68例成人肺炎支原体感染病例的临床资料进行回顾性分析、总结。结果表现为上呼吸道感染20例(29.4%),急性支气管炎28例(41.2%),慢性支气管炎(慢支)急性发作6例(8.8%),肺炎14例(20.6%),可出现肝损害、皮疹、消化道等肺外表现,全部予大环内酯类药物治疗治愈。结论成人肺炎支原体感染以发热、刺激性咳嗽等症状为主,影像学改变多种多样,外周血白细胞大部分正常,C反应蛋白(CRP)可升高,肺炎支原体抗体检测有确诊价值,大环内酯类抗生素疗效显著。
Objective To approach the clinic feature of mycoplasma pneumoniae(MP) infected adult and to summarize the experience of diagnosis and therapy.Methods The documents of 68 MP infected adults were analyzed retrospectively. Result 20 upper respiratory infection(29.4%),34 bronchitis(50%),14 pneumonia(20.6%).While accompanying with the change of digesive system,skin,and urinary system,the large ring lactone class antibiotic can cure the clinic feature of mycoplasma pneumoniae.Conclusion The cardinal symptom is fever,cough,gasping,and There are many kinds of the imaging appearances of chest,percent of patients had normal white blood cell counts,CRP is increased, The IgM antibody to MP can diagnose Mycoplasma pneumoniae infection,the large ring lactone class antibiotic is valid.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2009年第S2期73-74,共2页
Chinese Journal of Practical Internal Medicine
关键词
成人
肺炎支原体
感染
临床分析
Adult
Mycoplasma pneumoniae infection
Clinical analysis
