儿科药学杂志2017，Vol.23Issue(11)：25-27,3.DOI:10.13407/j.cnki.jpp.1672-108X.2017.11.009
儿童重症肺炎支原体肺炎临床特征分析
Clinical Characteristics of Sever Pneumonia Mycoplasma Pneumoniae in Children
李虎 1万俊 1华亚军 1张玲1
作者信息
- 1. 东南大学医学院附属江阴人民医院,江苏江阴214400
- 折叠
摘要
Abstract
Objective:To investigate clinical characteristics of sever Mycoplasma Pneumoniae pneumonia (MPP) in children and provide clinical basis for diagnosis and treatments.Methods:Clinical data of 152 cases of children with MPP treated in our hospital from January 2015 to December 2016 were collected and retrospectively analyzed.Results:The severe group was mainly preschool children,and there was a statistically significant difference in the age composition ratio between the severe group and the common group (P＜ 0.05).The time of fever,cough and hospital stay in the severe group were significantly longer than those in the common group (P＜ 0.05).The incidence rate of shortness of breath,the positive rate of pulmonary signs and the rate of increasing of inflammatory indexes in the severe group were significant higher than those in the common group (P＜0.05).Twenty-six cases (48.1％) of the severe group were with extra-pulmonary complications,and liver function damage was the most common.The rates of using hormone and intravenous gamma globulin were significantly higher in the severe group than those in the common group (P＜0.05).Twenty-nine cascs (53.7％) of the severe group underwent alveolar lavage by electronic bronchoscopy.There was no significant difference in the efficiency of treatment between the two groups (P＞0.05).Conclusion:Younger children are more likely to develop sever MPP after Mycoplasma Pneumoniae infection.Sever MPP are always with serious clinical symptoms,obvious pulmonary inflammation,intra-/extra-pulmonary complications,and good prognosis after anti-infection,immune support and alveolar lavage by electronic bronchoscopy.关键词
支原体/肺炎/儿童/并发症/支气管镜Key words
Mycoplasma/pneumonia/children/complication/bronchoscopy分类
医药卫生引用本文复制引用
李虎,万俊,华亚军,张玲..儿童重症肺炎支原体肺炎临床特征分析[J].儿科药学杂志,2017,23(11):25-27,3.
