肺炎支原体感染通常发生在5～15岁的小儿,多有不规则的发热,频繁咳嗽,无或少有肺部物理征,出现临床症状和体征轻微与X线所见相矛盾的现象,这就形成误诊误治的基础。遇有类似情况,临床医师应当考虑有肺炎支原体感染的可能性,进一步做胸部X线及肺炎支原体的实验室检查,以便早期确诊和进行适宜的治疗。现就我们2年来对100余例支原本肺炎诊治情况尤其是误诊误治的经验教训介绍如下。 Mycoplasma pneumoniae infection usually occurs in children aged 5 to 15 years, more irregular fever, frequent cough, no or few physical signs of the lungs, there are signs of clinical symptoms and signs of a slight contradiction with the X-ray phenomenon, which Forming the basis of misdiagnosis and mistreatment. In a similar situation, clinicians should consider the possibility of mycoplasma pneumoniae infection, and further to do chest X-ray and Mycoplasma pneumoniae laboratory tests for early diagnosis and appropriate treatment. Now on our 2 years to more than 100 cases of primary pneumonia diagnosis and treatment, especially the misdiagnosis of the lessons learned are described below.