摘要
目的:分析肺炎支原体(Mycoplasma pneumoniae,MP)感染肺及肺外器官受累的临床特征和治疗效果。方法:采用ELISA法检测血MP-IgM及冷凝集试验。对确诊为MP感染的82例患儿进行回顾性分析。结果:82例患儿52.4%有呼吸道症状,26.8%肺外器官受累,其中以消化、神经、心血管系统受累多见。82例患儿均给予大环内酯类抗生素治疗,80例治愈好转,2例死亡。实验室检查中72例血MP-IgM阳性,冷凝集试验≥1∶32阳性率12.2%。结论:MP感染临床特征及胸片缺乏特异性,对于治疗不理想及多器官受累的呼吸道感染,应注意有无MP感染可能,及时进行相关检查,早期确诊,对因治疗。
Objective： To analyze the clinical features and treatment of M.ycoplasma pneumoniae （MP） infection affecting the lung and other organs. Methods：Blood MP-IgM was tested with ELISA and cold agglutination. Eighty two cases diagncsed as MP infection were analyzed retrospectively. Results：Among all 84 cases,52.4% of the cases had respiratory symptoms;26.8% external visceral organs, especially. In the digestive system, nervous system and cardiovascular system. Following the macro macrocyclic lactone antibiotic treatment,80 patients were cured and 2 died. In the clinical laboratory test,72 cases had positive MP-IgM and 12.2% had positive MP-IgM with cold agglutination ≥ 1 ： 32. Conclusions： The clinical features and X-ray photograrns of MP infection lack specificity. For the digestive infection with unsatisfied treatment results and invaded multiple organs, the possibility of MP infection should be noted and relevant examination taken so as to make early diagnosis and apply proper treatment.
出处
《蚌埠医学院学报》
CAS
2005年第5期427-429,共3页
Journal of Bengbu Medical College
关键词
肺炎支原体
呼吸道疾病
肺和肺外器官
儿童
mycoplasma pmeumoniae
respiratory tract diseases
lung and other organs
child
