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目的分析肺炎支原体肺炎患儿的临床表现与影像学特征。方法对2008-08-2010-10在海口市妇幼保健院儿科住院的260例肺炎支原体肺炎的患儿的临床表现、胸部X线及CT检查进行分析。结果全部患儿MP-IgM阳性,发热235例,阵发性剧烈咳嗽72例,痉挛性咳嗽43例,发绀8例,喘息或呼吸困难17例,肺部啰音203例。X线胸片:呈斑片或点片状影105例,呈片状影伴云雾状渗出影54例,弥漫性网状或结节浸润阴影剧烈32例,肺门周围粗糙模糊条索状影30例,呈不规则云雾状肺浸润影16例。CT检查:肺门周围浸润伴淋巴结肿大7例,间质性肺炎网格状影3例。结论小儿肺炎支原体肺炎临床表现明显,影像学上改变以斑片性或点片状为主,有多样性的特点,部分患儿有肺外表现,治疗上给予大环内酯类抗生素有良好的疗效。
Objective To analyze the clinical manifestations and imaging features of children with Mycoplasma pneumoniae pneumonia. Methods The clinical manifestations, chest X - ray and CT examination of 260 cases of Mycoplasma pneumoniae pneumonia admitted in pediatric department of Haikou MCH hospital from 2008-08-2010-10 were analyzed. Results All children were positive for MP-IgM, with 235 cases of fever, 72 cases of paroxysmal cough, spasmodic cough of 43 cases, cyanosis of 8 cases, wheezing or dyspnea in 17 cases and 203 cases of pulmonary rales. X-ray: speckle or spot-like film 105 cases were flake shadow with cloud-like exudate in 54 cases, diffuse reticular or nodular infiltration shadow of 32 cases of severe, hilar rough fuzzy cord-like Shadow in 30 cases, irregular cloud-like pulmonary infiltrates in 16 cases. CT examination: infiltration around the hilar with lymph node enlargement in 7 cases, interstitial pneumonitis in 3 cases. Conclusions The clinical manifestations of mycoplasma pneumoniae pneumonia in children are obvious. The changes in the image are mainly patchy or spot-like, with a diversity of features. Some of the children have extrapulmonary manifestations. The macrolide antibiotics given in the treatment have good Efficacy.