摘要
目的探讨不同年龄儿童肺炎支原体肺炎(MPP)的临床特征,为临床诊疗提供依据。方法选择2010年1月至2011年12月四川省遂宁市中心医院儿科住院确诊MPP患儿83例。对其临床资料进行总结。分为婴幼儿组(0～3岁)和少儿组(>3～14岁),分析两组患儿临床症状、体征、X线表现、肺外并发症等方面的差异。结果婴幼儿组与少儿组患儿主要临床表现及肺外表现比较,差异有统计学意义(P<0.05),婴幼儿组患儿主要临床表现以咳痰、喘息等症状相对明显,肺部干、湿罗音多,体温相对较低,平均热程短;少儿组多表现为高热不退,平均热程长,阵发性、顽固性干咳,症状重,体征少。MPP胸部X线表现具有多样性,小叶实质浸润是两组患儿最常见的X线征象,婴幼儿组MPP间质浸润明显多于肺段实质浸润,双侧病变居多,少儿组肺实质浸润多于间质浸润,单侧病变居多,且较婴幼儿组易引起肺不张、胸膜炎等,MPP的X线表现严重程度与临床症状、体征相关性不强是两组患儿的共同特征。结论不同年龄MPP在临床症状、胸部体征及X线表现等方面均存在一定差异,须结合实验室检查才能明确诊断。
Objective To explore the clinical features in the different ages of child mycoplasma pneumoniae pneumonia （MPP） to provide the basis for its clinical diagnosis and treatment. Methods 83 childrew patients with MPP in our hospital from January 2010 to December 2011 were selected and their clinical data were summarized. The children patients were divided into the infant group （03 years old） and the children group （〉 314 years） and the differences in the clinical symptoms,signs, Xray findings and extrapulmonary complications were anayzed and compared between the two groups. Results The comparison of the main clinical manifestations of MPP and the extrapulmonary manifestations between the two groups showed statistical dif ference （P〈0.05）. The main clinical manifestations of expectoration and wheezing were more obvious in the infant group,with more wet and dry rales in the lungs,relatively lower body temperature and shorter average fever duration. The children group mainly manifested by hyperpyrexia, long average fever duration, paroxysmal and intractable dry cough, severe symptoms and less signs. MPP chest Xray findings had the diversity. Pulmonary lobalar parenchyma invasion was the most common Xray findings in the two groups. Interstitial infiltration was more obvious than the parenchymal infiltration of the lung segments in the infant group, bilateral lesions were obvious. On the contrary ,the parenchymal infiltration of the lung segments and unilateral lesions was more obvious in the children group. MPP in the infant group could easily cause atelectasis, pleurisy, etc. There was a common feature in the two groups that the severity of MPP Xray findings had no strong correlation with clinical symptoms and signs. Conclusion Some differences exist among the clinical symptoms,chest signs and chest Xray findings in different ages of child MPP,which shloud be definitely diagnosed by combining with laboratory tests.
出处
《现代医药卫生》
2012年第17期2575-2576,共2页
Journal of Modern Medicine & Health
关键词
肺炎
支原体
儿童
对比研究
临床特征
Pneumonia,mycoplasma
Child
Comparative study
Clinical features
