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目的分析并低氧血症婴幼儿肺炎支原体肺炎(MPP)的临床特点。方法对25例合并低氧血症婴幼儿MPP的临床特征及诊治情况进行回顾性分析。男15例,女10例;年龄5个月～2岁11个月;病程12～92 d。结果并低氧血症MPP婴幼儿起病急,多以剧烈咳嗽、喘息症状为主,很快出现呼吸困难及发热,肺部体征多变[12例(48%)],出现肺外并发症[18例(72%)],及大叶肺实变[7例(28%)]。单用大环内酯类抗感染疗效不佳8例(32%),呼吸道症状消失时间较长,低氧血症恢复正常时间为8～11 d。结论并低氧血症婴幼儿MPP病情较重,变化快,肺外并发症多见,治疗应综合考虑,根据病情调整治疗方案。
Objective To analyze the clinical characteristics of mycoplasma pneumoniae pneumonia (MPP) in infants with hypoxemia. Methods The clinical features, diagnosis and treatment of 25 MPP patients with hypoxemia were retrospectively analyzed. 15 males and 10 females; aged 5 months to 2 years and 11 months; duration of 12 to 92 days. Results and hypoxemia MPP infants and young children onset acute, mostly with severe cough, wheezing symptoms, soon appeared dyspnea and fever, signs of change in the lung [12 cases (48%)], pulmonary complications [18 patients (72%)], and large leaf lung consolidation [7 patients (28%)]. In 8 cases (32%), the effect of macrolide anti-infective alone was poor, the symptoms of respiratory symptoms disappeared for a long time, and the duration of hypoxemia returned to normal ranged from 8 to 11 days. CONCLUSIONS: MPP in infants and young children with severe hypoxemia is exacerbated, rapidly changing, and extrapulmonary complications are common. The treatment should be considered comprehensively and the treatment plan should be adjusted according to the condition.