中国当代儿科杂志Issue(11)：1189-1192,4.DOI:10.7499/j.issn.1008-8830.2015.11.008
儿童难治性肺炎支原体肺炎的早期识别
Early identiifcation of refractory Mycoplasma pneumoniae pneumonia in children
王臻 1李雅春 1陈璐1
作者信息
- 1. 上海市交通大学附属第一人民医院儿内科，上海 201600
- 折叠
摘要
Abstract
ObjectiveTo investigate the clinical indicators for early identification of refractory Mycoplasma pneumoniae pneumonia (RMPP) in children.MethodsThe clinical data of 142 children with Mycoplasma pneumoniae pneumonia (MPP) between January 2014 and June 2015 were retrospectively studied. Among the 142 children, there were 32 cases of RMPP and 110 cases of non-refractory MPP. The clinical data were compared between the RMPP and non-refractory MPP groups.Results The percentage of school-age children in the RMPP group was higher than in the non-refractory MPP group (P<0.05). The mean onset age in the RMPP group was older than the non-refractory MPP group (P<0.05). Steroid was used in 93.8% of RMPP children compared with 7.3% of non-refractory MPP children (P<0.001). Consolidation of lung on chest X-Ray was shown in 87.5% of RMPP children compared with 42.7% of non-refractory MPP children (P<0.001). The incidence of pleural effusion in the RMPP group was higher than in the non-refractory MPP group (P<0.001). The RMPP group had higher percentages of individuals with CRP>40mg/L and ESR>30mm/h+LDH>300IU/L than the non-refractory MPP group (P<0.05).ConclusionsRMPP is common in school-age children. Consolidation of lung on chest X-Ray, pleural effusion and increased levels of CRP and ESR+LDH may be helpful to early identiifcation of RMPP in children.关键词
难治性肺炎支原体肺炎/识别/儿童Key words
Refractory Mycoplasma pneumoniae pneumonia/Identiifcation/Child引用本文复制引用
王臻,李雅春,陈璐..儿童难治性肺炎支原体肺炎的早期识别[J].中国当代儿科杂志,2015,(11):1189-1192,4.
