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目的探讨小儿支原体肺炎的临床表现及诊治方法。方法回顾性分析2005年1月至2010年12月我院49例小儿支原体肺炎患儿的临床资料。结果 49例小儿支原体肺炎临床症状主要是咳嗽、发热、干咳及气喘等,肺部听诊,部分患儿可干湿性啰音;均经X线检查,肺部可呈肺纹理增粗紊乱、肺门阴影增浓、间质性肺炎改变、斑片状阴影。治疗情况有效率达95.9%,无明显不良反应。住院治疗1～4周后49例患儿顺利出院,无死亡病例。结论小儿支原体肺炎症状往往不太典型,诊断时应注意此病症;应及早行X线检查和血清MP-IgM检测。阿奇霉素治疗小儿支原体肺炎疗效肯定、安全可靠,是目前治疗小儿支原体肺炎一种较合理的药物。
Objective To investigate the clinical manifestations and diagnosis and treatment of pediatric mycoplasma pneumonia. Methods The clinical data of 49 children with mycoplasma pneumonia from January 2005 to December 2010 in our hospital were retrospectively analyzed. Results The clinical symptoms of 49 cases of children with Mycoplasma pneumonia mainly cough, fever, dry cough and asthma, auscultation of the lungs, some children may be wet and dry rales; by X-ray examination, the lungs may be enlarged lungs disorders, lungs Door shadow thickening, interstitial pneumonia changes, patchy shadows. Treatment of effective rate of 95.9%, no significant adverse reactions. 49 cases were discharged from hospital without any death after 1 to 4 weeks of hospitalization. Conclusion The symptoms of mycoplasma pneumonia in children are often not typical. Diagnosis should pay attention to this condition. X-ray examination and serum MP-IgM test should be performed as soon as possible. Azithromycin treatment of children with mycoplasma pneumonia positive effect, safe and reliable, is currently a treatment of children with mycoplasma pneumonia, a more reasonable drug.