摘要
目的总结小儿肺炎支原体感染并发消化系统损害的临床表现。方法对271例肺炎支原体感染患儿的临床资料进行回顾性分析。结果 271例肺炎支原体感染患儿中肺外损害检出率为52.77%（143/271）,其中消化系统损害检出率为34.69%（94/271）,占肺外损害的65.73%（94/143）。男性并发消化系统损害的检出率（33.80%）与女性（35.66%）之间差异无统计学意义（χ^2=0.103,P=0.748）。婴幼儿组消化系统损害检出率（47.27%）高于儿童组（31.48%）,差异有统计学意义（χ^2=4.825,P=0.028）。婴幼儿组的临床表现以纳差、恶心、呕吐症状为主,儿童组以腹胀、腹痛症状为主。儿童组的血清转氨酶、血总胆红素、血淀粉酶、尿淀粉酶、腹部超声、腹部X线及腹部CT等异常检出率高于婴幼儿组,差异有统计学意义（P〈0.05）。结论小儿肺炎支原体感染常并发消化系统损害,需积极预防和有效干预。
Objective To explore the clinical manifestations in children with mycoplasma pneumoniae complicated with the digestive system damage. Methods The clinical data of 271 children with mycoplasma pneumoniae were retrospectively studied. Results The rate of extrapulmonary organ damages in 271 children with mycoplasma pneumoniae was 52. 77%（ 143 /271）,among which,the rate of the digestive system damage organ was 34. 69%（ 94 /271）,accounting for 65. 73%（ 94 /143） of the extrapulmonary organ damages. There were no significant differences in concurrent digestive system organ damages between the male children（ 33. 80%） and the female children（ 35. 66%）（ χ~2= 0. 103,P = 0. 748）. The rate of digestive system organ damages of the infants（ 47. 27%） was higher than that of the children subgroup（ 31. 48%）,significantly（ χ~2= 4. 825,P = 0. 028）. The clinical manifestations of the infant subgroup were characterized with anorexia,nausea,and vomiting,while those of the children subgroup were characterized with symptoms of abdominal distension and abdominal pain. The detectable rates of abnormal blood serum aminotransferase,total bilirubin,blood amylase,urinary amylase,abdominal ultrasound,abdominal X-ray and CT in the children subgroup were significantly higher than those in the infant subgroup（ P 〈0. 05）. Conclusion Pneumonia mycoplasma infections are usually complicated with digestive system damages,which needs to be actively prevented and effectively intervened.
出处
《中国临床新医学》
2016年第5期436-438,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
小儿
肺炎
支原体
肺外损害
消化系统
Children
Pneumonia
Mycoplasma
Extrapulmonary damages
Digestive system
