摘要
目的探讨小儿肺炎支原体肺炎肺外并发症特点及治疗情况。方法对125例支原体肺炎患儿的临床特征、实验室检查结果及治疗情况等资料进行回顾性分析,对其肺部表现、肺外表现等情况进行研究。采用特异性免疫凝集实验检测血清IgM抗体,滴度≥1∶80为阳性。结果 125例患儿中,52例肺外器官受累,以消化系统、心血管系统、中枢神经系统及皮肤损伤最多见。125例患儿经对症治疗后均痊愈出院。结论对于肺炎支原体肺炎患儿应结合临床表现和实验室检查进行综合分析,既有呼吸道感染症状又有其他器官症状的患者,可以考虑为支原体肺炎感染,避免误诊和漏诊,一旦确诊就要及早进行治疗。
Objective To investigate the extra-pulmonary complications and treatment situation of children with Mycoplasma pneumoniae pneumonia. Methods The clinical data such as clinical features, laboratory findings and treatment of 125 children with Mycoplasma pneumoniae were retrospectively analyzed. Their pulmonary and extrapul-monary manifestations were studied. The kit and specific immune agglutination assay was selected to detect serum IgM antibody, the titer that was higher than or equal to 1：80 was positive. Results Among 125 children, there were 52 cases of extra-pulmonary organ involved. The most common damage was in digestive system, cardiovascular system, central nervous system, and skin. All the 125 children patients were cured and discharged finally by symptomatic treatment. Conclusion For children with Mycoplasma pneumoniae pneumonia, the clinical manifestations and laboratory tests should be combined and comprehensively analyzed. The patients who had clinical symptoms of respiratory tract infection and also symptoms of other organs could be considered as mycoplasma pneumoniae, and avoide misdiagnosis and missed diagnosis. Once the diagnosis establishe, the patients should be treated as soon as possible.
出处
《中国当代医药》
2013年第21期184-185,共2页
China Modern Medicine
关键词
小儿
肺炎支原体肺炎
并发症
临床治疗
Children
Mycoplasma pneumoniae pneumonia
Complication
Clinical treatment
