河北医学2018，Vol.24Issue(1)：43-46,4.DOI:10.3969/j.issn.1006-6233.2018.01.010
儿童肺炎支原体感染呈肺实变改变的临床分析
Clinical analysis of Pulmonary Consolidation in Children with Mycoplasma Pneumoniae Infection
摘要
Abstract
Objective:To investigate the clinical diagnosis and treatment of childhood mycoplasma pneu-moniae infections with lung consolidation. Methods:Clinical data and treatment of 149 children mycoplasma pneumoniae infections with lung consolidation hospitalized were analyzed retrospectively. Results:(1) All the 149 patients had fever and cough. The average course of disease before admission was 10.7±6.0 days. The av-erage course of disease after admission was 3.87±4.57 days and the average stay was 15.9±6.5 days. Among the 149 children, there were 105 cases with hyperpyrexia;White blood cell ( WBC) was normal in 87 cases;Unilateral lung involvement was found in 131 cases;there were 70 cases with Pleural effusion and 5 cases with pulmonary necrosis;And there were 58 preschool children and 75 school-age children, no significant differ-ence was found in sex, maximum body temperature, length of stay, fever duration and complications between the two groups. (2) For the treatment, azithromycin was the first drug and sensitive antibiotics was used if complicated with bacterial infection. And bronchoalveolar Lavage with bronchoscope was indispensable. Moreo-ver, short-period application of glucocorticosteroid on critical patients can effectively improve clinical symp-toms. Conclusions:Childhood mycoplasma pneumoniae infections with lung consolidation can occur at all ages and more common at preschool and school age. Its incidence of RMPP is high. White blood cell was normal and Unilateral lung involvement was found in most patients. It was relatively serious and had prolonged course, however,it can be clinically cured with combined modality treatment mostly.关键词
肺炎支原体/肺实变/儿童Key words
Mycoplasma pneumoniae(MP)/Lung consolidation/Child引用本文复制引用
路素坤,刘建华,帅金凤,杨会荣,黄坤玲,曹丽洁,吕文山..儿童肺炎支原体感染呈肺实变改变的临床分析[J].河北医学,2018,24(1):43-46,4.基金项目
河北省医学科学研究重点课题计划,(编号:20170389) （编号:20170389）
