摘要
目的:探讨小儿肺炎支原体(MP)肺炎的临床诊治水平。方法:对121例确诊为MP肺炎住院患儿的临床特点进行总结和分析。结果:发病年龄>3岁100例(占82.6%),发热98例(占81.0%),均有咳嗽。无明显阳性体征39例(其中31例≥6岁,占79.5%)。用颗粒凝集法监测血清MP-IgM阳性率高达78.5%。X线胸片呈大片絮状阴影多见。所有病例经阿奇霉素治疗效果良好,未见肝肾损害。结论:小儿MP肺炎好发于学龄儿童。颗粒凝集法监测血清MP-lgM阳性率高,可用于早期诊断。阿齐霉素静脉滴注治疗安全良效。
Objective：To improve the clinical knowledge and treatment level of mycoplasma pneumaoniae pneumonia （MPP）.Methods：The clinical data in 121 children suffering from MPP were analysed retrospectively.Results：In this group, the pathogenic age〉3 years old was 100 eases,accounting for 82.6% ,and 58.7% of them between 6-13.All the sick children had cough,and 98 of them had fever, but there were 39 sick children without obvious positive sign （among them 31 ≥6 years,accounting for 79.5%）.The positive rate of serum MP-IgM monitored by particle agglutination test was as high as 78.5%.There were large pieces of patchy shadow in X-ray chest fdms.The curative effect was good to use asitromyein for all of this disease,without liver and kidney lesions.Conclusion：Infantile MPP occurs predominantly in school-age children.The positive rate of serum MP-IgM monitored by particle agglutination test is high,and can be useful in the early diagnosis of this disease.Azitromyein intravenous drip is safe and effective.
出处
《现代医药卫生》
2008年第22期3337-3338,共2页
Journal of Modern Medicine & Health
