摘要
目的研究分析以肺外症状为首发表现的肺炎支原体(MP)感染患儿的临床特征,总结经验、提高诊治水平。方法采用系统回顾性方法分析我院2015年1月—2016年1月收治的85例以肺外症状为首发表现的MP感染患儿的临床资料。结果小儿MP感染肺外症状为临床首发表现主要体现在血液系统、神经系统、皮肤损害、消化系统、结缔组织和心血管系统,其中主要以血液系统(36.5%)损害为主,其次为神经系统(20.0%)和皮肤损害(18.8%),余分别占9.4%、9.4%、5.9%;所有患儿经确诊为MP感染后予阿奇霉素等对症支持治疗后病情均明显好转。结论肺外症状为临床首发表现的MP感染发生率呈逐渐上升趋势,临床医生应多了解认识、重视该疾病,详细了解患者病史、病情,合理利用相关实验室辅助检查,做到早诊断,及时治疗,减少或避免误诊、漏诊,提高诊治水平。
Objective To analyze the clinical features of extrapulmonary symptoms as the initial manifestations in children with mycoplasma pneumoniae infection in order to improve the level of diagnosis and treatment.Methods The systematic methods were used to retrospectively analyze 85 children of mycoplasma pneumoniae infection with extrapulmonary symptoms as the starting manifestations who had been hospitalized between January 2015 and January 2016.Results MP infections that started with extrapulmonary symptoms mainly occurred in the blood system,nervous system,skin lesions and digestive system,connective tissue,heart and cardiovascular system.Damage to the blood system damage was dominating（36.5%）,followed by the nervous system（20.0%）,and skin lesions（18.8%）,while the rest accounted for 9.4%,9.4%,and 5.9%respectively.All the children diagnosed with MP infections were significantly improved after azithromycin and symptomatic or supportive treatment.Conclusion The incidence of MP infections that start with extrapulmonary symptoms is increasing so that clinical doctors should learn more about this disease,pay attention to the disease,have an intimate knowledge of the history of the patients and their condition,make good use of results of related examinations,ensure early diagnosis and timely treatment in order to reduce or prevent misdiagnosis and missed diagnosis and improve the level of treatment.
出处
《解放军预防医学杂志》
CAS
2017年第4期374-376,380,共4页
Journal of Preventive Medicine of Chinese People's Liberation Army
基金
陕西省自然科学基金资助项目(No.2010K16-11)
关键词
肺外症状
肺炎支原体感染
儿童
临床特征
extrapulmonary symptoms
mycoplasma pneumoniae infection
children
clinical features
