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小儿肺炎支原体肺炎121例临床及X线分析 被引量:5

Clinical and X ray characteristics of mycoplasmal pneumonia in children
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摘要 目的:探讨小儿肺炎支原体肺炎临床及X线特点。方法:采用日本富士明胶颗粒法测定小儿血清抗肺炎支原体抗体IgM及胸部X线摄片。结果:确诊为支原体肺炎121例,临床表现主要有发热(46.3%)、咳嗽(100%),肺部体征少,胸片表现多种多样,包括:肺门阴影增大,间质浸润,支气管肺炎及叶/段实变。红霉素为治疗首选药物,有肺外合并症者加用糖皮质激素治疗有效。结论:小儿支原体肺炎咳嗽症状多,肺部体征少,胸片表现多种多样,认为肺炎支原体慢性感染及感染后免疫反应参与发病机理。 Objective:Clinical and X ray characteristics of mycoplasmal pneumonia in children were investigated. Methods:Serum anti mycoplasma pneumoniae IgM and plain X ray of the chest were examined. Results:The clinical features were mainly charaterized by fever (46.3%) and cough (100%),physical signs of the lungs were less commons including:hilus enlargement,interstitial pneumonia,bronchial pneumonia and lobar or segmental consolidation in X ray examination. Erythromycin was the drug of choice in treatment of the disease. Glucocorticoids were added in patients with extrapulmonary complications. Conclusions:Cough is the symptom most commonly seen with only few physical signs in mycoplasmal pneumonia,and chronic infection of mycoplasma pneumoniae and its postinfectional immunity play animportantroleinpathogenesisofthedisease.
出处 《蚌埠医学院学报》 CAS 1997年第5期307-308,共2页 Journal of Bengbu Medical College
关键词 肺炎 支原体肺炎 儿童 X线诊断 mycoplasma pneumoniae pneumonia clinical features X ray of the chest children
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