临床误诊误治2018，Vol.31Issue(2)：33-35,3.DOI:10.3969/j.issn.1002-3429.2018.02.010
儿童肺炎支原体肺炎误诊为咳嗽变异型哮喘临床分析
Clinical Analysis of Mycoplasma Pneumonia Misdiagnosed as Cough Variant Asthma
摘要
Abstract
Objective To investigate the misdiagnosis causes and preventive measures of children with misdiagnosed as cough variant asthma(CVA). Methods A total of 6 children with mycoplasma pneumonia misdiagnosed as CVA were en-rolled in the study of 86 cases of mycoplasma pneumonia in our hospital from May 2012 to January 2017. The clinical data were retrospectively analyzed. Results Misdiagnosis rate was 6.98%. Due to fever,cough and sputum,occasional breath-ing shortness of breath in 2 cases,and due to fever,with cough,chest tightness and wheezing discomfort in 1 case,and due to repeated fever,cough,shortness of breath,chest tightness and wheezing discomfort in 3 cases. Mycoplasma pneumonia was misdiagnosed as CVA. The mean misdiagnosis time was 3-10 days. All children were diagnosed as mycoplasma pneumonia by mycoplasma etiology. They were given Azithromycin combined with Methylprednisolone and other drugs symptomatic treatment after diagnosis,15-20 d after the condition was significantly improved after discharge. The follow-up time was 1 to 3 months after discharge,and all the children had a good prognosis during the follow-up period. Conclusion Mycoplasma pneumonia lacks specific clinical chest imaging findings, and is easy to be misdiagnosed. Clinicians should strengthen the awareness of mycoplasma pneumonia and knowledge of the disease-related knowledge and understanding,reduce or avoid misdiagnosis and mistreatment.关键词
肺炎,支原体/儿童/误诊/哮喘Key words
Pneumonia,mycoplasma/Child/Misdiagnosis/Asthma分类
医药卫生引用本文复制引用
刘海燕,李静,帖迎春,王玲..儿童肺炎支原体肺炎误诊为咳嗽变异型哮喘临床分析[J].临床误诊误治,2018,31(2):33-35,3.基金项目
陕西省科技统筹创新工程计划项目(2014TCL03-02) （2014TCL03-02）
