摘要
目的探讨儿童支原体肺炎临床表现及治疗效果,提高支原体肺炎的临床诊治水平。方法回顾性分析38例儿童支原体肺炎的发病情况、临床表现、影像学、实验室检查结果、治疗及预后。结果本组患儿男19例,女19例,发病年龄6个月～9岁,平均年龄(4.8±4.0)岁,其中发热32例(84%),咳嗽31例(82%),气喘6例(16%),胸片异常36例(95%),胸部X线多表现为肺段实质浸润性病变,双肺均可累及,主要为右肺,外周血白细胞总数正常19例(50%),心电图异常9例(24%),38例均使用阿奇霉素治疗,疗程2～4周,均痊愈出院。随访2～4个月,所有患儿复查胸片显示斑片状影消失。结论儿童支原体肺炎以发热、咳嗽、气喘为主要症状,胸片阴影显著,应用阿奇霉素治疗有效。
Objective To improve the level of diagnosis and treatment of mycoplasma pneumonia by analyzing its clinical fea- tures. Methods A retrospective analysis of 3g cases of child mycoplasma pneumonia incidence, clinical presentation radiographic findings and laboratory examination and treatment effect. Results The age of patients（male 19,female 19） ranged from 6 months to 9 years old,the average age of（4.8 ＋4.0） years old. The main clinical feature were high fever 32 cases（84% ） ,coughing 31 cases （82%）, asthma 6 cases （ 16% ）, abnormal X-ray in lung 36 cases （95%）, Chest X ray manifestations of pulmonary paren- chyma infiltrating lesions,double lung can be involved,mainly for the right lung ,WBC were in the normal range in 19 cases （50%） ,abnormal ECG 9 cases （24%）. All of the cases were cured after treatment with azithromycin for 2 -4 weeks. Conclusion The main symptoms of mycoplasma pneumonia were high fever, coughing and asthma, chest X-ray shadow was sig- nificantly. The treatment with azithromycin was effective.
出处
《中华全科医学》
2013年第1期25-26,共2页
Chinese Journal of General Practice
关键词
儿童
支原体肺炎
临床分析
Children
Mycoplasma Pneumonia
Clinical Analysis
