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肺炎支原体肺炎实验室诊断的意义及进展 被引量:13

Significance and progress in laboratory diagnosis of Mycoplasma pneumoniae pneumonia
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摘要 肺炎支原体肺炎(MPP)是临床常见的呼吸道感染性疾病,近年来重症难治性MPP患儿明显增多。MPP临床症状无特征性,部分伴肺外并发症,同时MPP的影像学表现亦缺乏特异性,因此,MPP的诊断常依赖于实验室检查。现从临床角度出发,阐述肺炎支原体(MP)感染的实验室检查在临床诊断中的意义,如何判断MP是现症感染、既往感染还是在健康儿童呼吸道内携带,如何判定耐药MP,以提高临床医师对MP感染的认识和诊疗水平。 Mycoplasma pneumoniae pneumonia(MPP)is a clinical common respiratory tract infectious di-sease.In recent years,the number of children with severe and refractory MPP has increased significantly.Clinical symptoms of MPP are usually atypical,and some MPP cases are accompanied with extrapulmonary complications.In addition,imaging features of MPP also lack specificity.The diagnosis of MPP,as a result,often relies on laboratory examinations.The present study demonstrated the clinical significance in laboratory diagnosis of Mycoplasma pneumoniae(MP)infection,and the method to distinguish present infection,previous infection or carriers in healthy children′s respiratory tract.Moreover,the method to determine macrolide-resistant MP was also described in this study.This study aims to improve the understanding,diagnosis and treatment of MP infection.
作者 赵德育 邓欢 Zhao Deyu;Deng Huan(Department of Respiratory,Children′s Hospital of Nanjing Medical University,Nanjing 210008,China)
出处 《中华实用儿科临床杂志》 CAS CSCD 北大核心 2021年第16期1205-1209,共5页 Chinese Journal of Applied Clinical Pediatrics
关键词 肺炎支原体感染 实验室诊断 携带 现症感染 既往感染 Mycoplasma pneumoniae infection Laboratory diagnosis Carrying Present infection Previous infection
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