论文部分内容阅读
目的探讨小儿支原体肺炎的早期诊断方法。方法对2003年5月~2005年5月诊治肺炎支原体肺炎88例临床资料进行回顾性分析。结果临床表现以发热、咳嗽为主,肺部体征不明显,x线检查有四种表现:支气管肺炎表现;间质性肺炎表现;大叶性肺炎表现;肺门影增重表现。测定冷凝集素、支原体抗体对诊断有帮助,大环内酯类药物疗效肯定。结论对于不明原因的发热,咳嗽症状重,肺部体征轻,抗生素治疗效果欠佳,结合胸片有四种表现之一者,应高度怀疑支原体肺炎,可投入大环内酯类药物诊断性治疗,如疗效满意,即可临床诊断,加上冷凝集素试验阳性、支原体抗体测定阳性、双份血清4倍升高以上之一者,即可确诊。
Objective To investigate the early diagnosis of Mycoplasma pneumonia in children. Methods The clinical data of 88 cases of Mycoplasma pneumoniae pneumonia diagnosed and treated from May 2003 to May 2005 were retrospectively analyzed. Results Clinical manifestations of fever, cough, lung signs are not obvious, there are four manifestations of x-ray examination: the performance of bronchial pneumonia; interstitial pneumonia; lobular pneumonia performance; hilar shadow weight gain performance. Determination of cold agglutinin, mycoplasma antibodies helpful in the diagnosis of macrolides drugs certainly. Conclusions For unknown causes of fever, cough, severe lung symptoms, poor efficacy of antibiotics, combined with chest X-ray has one of four manifestations, should be highly suspected mycoplasma pneumonia, macrolide can be put into the diagnostic treatment , If the effect is satisfactory, you can clinically diagnose, plus cold agglutinin test positive, mycoplasma antibody positive, double serum 4 times higher than one of the above, you can confirm.