摘要
目的探讨儿童支原体肺炎的临床表现、并发症、实验室及影像学检查特点,为临床诊断及用药提供参考。方法选取2011年1月-2012年1月湖州市中心医院收治的支原体肺炎患儿190例为研究对象,对患儿的临床表现及肺外并发症、实验室及影像学检查等资料进行回顾性分析。结果支原体肺炎患儿190例,发热、刺激性干咳、双肺呼吸音粗糙发生率分别为92.63%、86.84%、58.94%;并发消化系统损害49例,发生率为25.79%;实验室检查超敏C-反应蛋白升高、谷丙转氨酶升高发生率分别为51.05%、22.11%;影像学检查一侧片状阴影81例,发生率为42.63%,肺纹理粗乱49例,发生率为25.79%。结论儿童支原体肺炎的临床特点以发热、刺激性干咳为主要症状,体征双肺呼吸音增粗为多,常累及消化系统,影像学检查是确诊支原体肺炎的重要依据。
OBJECTIVE To explore the clinical manifestations,incidence of complications,clinical laboratory examination,and imaging characteristics of children with Mycoplasmapneumonia so as to guide the clinical diagnosis and medication.METHODS Totally 190children with Mycoplasmapneumonia,who were treated in the Huzhou Central Hospital from Jan 2011 to Jan 2012,were enrolled in the study,then the clinical manifestations and pulmonary complications as well as the data of the clinical laboratory examination and imaging examination were retrospectively analyzed.RESULTS Among the 190children with Mycoplasmapneumonia,the incidence of fever was 92.63%, the dry cough 86.84%,the rough breath sounds of two lungs 58.94%;the complication of digestive system damage occurred in 49cases with the incidence rate of 25.79%.The clinical laboratory examination showed that the incidence of the elevated level of high-sensitivity C-reactive protein was 51.05%,the incidence of the elevated level of alanine aminotransferase 22.11%;while the imaging examination indicated that there were 81（42.63%）cases of unilateral patchy shadows and 49（25.79%）cases of rough lung texture.CONCLUSIONThe fever and irritating cough are the predominant clinical symptoms of the children with Mycoplasma pneumonia;the sign of thickening of lungs breath sounds is quite common and usually involves the digestive system;the imaging examination can provide significant evidence to confirm the Mycoplasmapneumonia.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第1期206-207,210,共3页
Chinese Journal of Nosocomiology
基金
浙江省湖州市基金项目(2011YS18)
