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目的:探讨小儿肺炎支原体肺炎的临床特点与诊治疗效。方法:选取2012年1月-2013年12月我院儿科支原体感染患儿97例,对其临床特点以及诊治疗效进行回顾性分析。结果:患儿主要表现以阵发性剧烈咳嗽显著,同时伴有不同程度的发热,气促,喘憋,呼吸困难,肺部体征多不明显,影像学检查肺部改变明显,肺炎支原体抗体(MP-lgM)≥1∶40患儿占89.9%,应用大环内酯类抗生素(如阿奇霉素、红霉素等)治疗临床疗效好,有效率达94.8%。结论:小儿支原体肺炎临床症状体征不一致,早期诊断难,大环内酯类治疗有效。
Objective: To investigate the clinical features, diagnosis and treatment of children with Mycoplasma pneumoniae pneumonia. Methods: From January 2012 to December 2013, 97 children with mycoplasma pediatric mycoplasma infection were selected for retrospective analysis of their clinical features and diagnosis and treatment. Results: The main manifestations of children with paroxysmal severe cough, accompanied by varying degrees of fever, shortness of breath, wheezing, breathing difficulties, pulmonary signs were not obvious, significant lung imaging changes, Mycoplasma pneumoniae antibody MP-lgM) ≥1:40 accounted for 89.9% of children, the application of macrolide antibiotics (such as azithromycin, erythromycin, etc.) treatment of clinical efficacy, the effective rate of 94.8%. Conclusion: Mycoplasma pneumonia in children with clinical symptoms and signs are inconsistent, early diagnosis is difficult, effective macrolide treatment.