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目的探讨小儿支原体感染的临床特点及治疗转归。方法选择2007年1月-2012年12月儿科住院治疗,且临床资料较完整的支原体感染患儿206例,对其临床资料进行分析。结果发热、咳嗽为主要表现,病程长,86例(41.7%)合并有喘息症状,胸片检查中18例(8.74%)表现为肺叶或肺段炎性实变病变,79例(38.3%)合并肺外并发症,中性粒细胞比例>0.75有155例(75.2%),184例(89.3%)患儿超敏C反应蛋白增高;合并细菌感染者,单纯应用大环内酯类药物治疗效果欠佳,联合应用头孢类抗生素疗效好。结论儿童支原体肺炎易诱发喘息及肺外损害,X线胸片表现多样,对于胸片呈大叶性肺炎改变、单纯应用大环内酯类抗生素疗效欠佳的支原体肺炎患儿,需注意合并细菌感染,及时行相关病原检查,联合用药效果较好。
Objective To investigate the clinical characteristics of children with Mycoplasma infection and treatment outcome. Methods A total of 206 children with mycoplasma infection from January 2007 to December 2012 were enrolled in this study. Their clinical data were analyzed. The results of fever, cough as the main performance, longer duration, 86 cases (41.7%) with wheezing symptoms, chest radiography in 18 cases (8.74%) showed lung or pulmonary inflammatory consolidation disease, 79 cases (38.3% In combination with extrapulmonary complications, 155 (75.2%) had neutrophilic granulocytes, and 184 (89.3%) had hypersensitive C-reactive protein. In patients with bacterial infection, macrolide alone Ineffective, combined application of cephalosporin antibiotics good effect. Conclusions Mycoplasma pneumonia in children is easy to induce wheezing and extrapulmonary lesions. X-ray manifestations are varied. For the chest radiograph, there is a change of lobar pneumonia. In children with mycoplasma pneumonia who are not treated with macrolide antibiotics, attention should be paid to the combination of bacteria Infection, timely inspection of the relevant pathogens, the combined effect is better.