摘要
目的：探讨肺炎支原体（MP）导致小儿下呼吸道感染（LRI）的临床特征。方法：回顾性分析我院儿科2009年6月-2012年12月200例确诊为MPLRI住院患儿的临床资料,分析总结性别、年龄、发病季节、临床症状、体征、各项检查的临床特征。结果：（1） MPLRI患儿性别无显著性差异,（P〉0.05）；5岁以下儿童占71.1%；（2）咳嗽率98.6%,发热率75.4%,喘息率51.2%,婴幼儿与年长儿喘息发生率分别为（62.4%,39.2%）,呕吐腹泻率分别为（35.8%,14.7%）,皮疹发生率分别为（14.7%,5.9%）,婴幼儿明显高于年长儿,具有显著性差异（P〈0.05；（3）所有患儿中合并肺炎衣原体（CP）感染者占60%,合并细菌感染者50.0%,合并病毒感染者26.9%。（4）肺功能检查显示90.3%的患儿有不同程度的气道阻塞,70.8%有气道高反应性。结论：MPLRI呈低龄化趋势；以发热、咳嗽、喘息为主要临床表现,婴幼儿更易出现喘息、呕吐腹泻及皮疹等临床症状；MPLRI多合并CP感染,能引起气道阻塞及高反应性。
Objective：The clinical features study of the children＆#39;s lower respiratory infection（LRI） leaded by Mycoplasma pneumoniae （MP）.Methods：Retrospective analysis the clinical data of 200 children diagnosed as MPLRI hospitalized in the pediatrics from June 2009-December 2012,analysis and summary the clinical features of the gender,age,season,clinical symptoms,signs,and the inspection.Results：（1）The gender of MPLRI children,there was no significant difference （P〉0.05）;Children under 5 years of age accounted for 71.1%;cough incidence rate was 98.6%,fever incidence rate was 75.4%,wheezing incidence rate was 51.2%,wheezing incidence of infants and older son respectively was （62.4%,39.2%）,vomiting,diarrhea rate respectively was （35.8%,14.7%）,rash incidence respectively was （14.7%,5.9%）,infants and young children is significantly higher than the older son,with significant difference （P〈0.05）;（3）The children merge with chlamydia pneumoniae（CP） infections accounted for 60%,merge with bacteria infections accounted for 50.0%,merge with Virus infection accounted for 26.9%.（4） Pulmonary function examination showed that 90.3%of children have different degree of airway obstruction,70.8%have high reactivity.Conclusion：MPLRI showed a trend of younger age;the main clinical expression were fever,cough and wheezing,infants and young children are more likely to appear breathing,vomiting,diarrhea and skin rashes and other clinical symptoms;MPLRI easy to merge with CP infection,can cause airway obstruction and high reactivity.
出处
《中国医药导刊》
2014年第2期217-218,220,共3页
Chinese Journal of Medicinal Guide
关键词
肺炎支原体
下呼吸道感染
临床特征分析
Pneumonia mycoplasma
Lower respiratory tract infection
The analysis of the clinical characteristics
