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目的探讨婴幼儿肺炎支原体(MPP)肺炎的临床特点及治疗,为临床医治提供参考依据。方法对福建省妇幼保健院2013年3~9月住院治疗的60例婴幼儿MPP资料进行回顾性分析。结果本组患儿1岁以上占75.0%,年龄最小4个月。临床表现以痰咳嗽、发热、气促为主,多伴有喘息,肺部体征明显;肺外并发症较多,以心血管系统受累为主;胸部X线检查表现以支气管肺炎为主,患儿多有小气道通气功能损害。IgM(MP-IgM)检测均阳性。病例均用阿奇霉素配合布地奈德雾化吸入治疗,危重病人联合糖皮质激素及静脉丙球。经治疗,出院55例治愈,5例好转;随诊3个月,3例病情反复者经治疗痊愈。结论婴幼儿肺炎支原体肺炎,起病急,病程长;血清MP-IgM检测为主要诊断方法,阿奇霉素是治疗的有效药物,雾化吸入糖皮质激素可以减轻喘息发作,对于重症者,应及时联合免疫治疗。
Objective To investigate the clinical features and treatment of mycoplasma pneumoniae (MPP) pneumonia in infants and young children, and provide reference for clinical treatment. Methods A retrospective analysis was performed on the MPP data of 60 infants and young children hospitalized in Fujian Maternal and Child Health Hospital from March to September in 2013. Results This group of children over the age of 1 accounted for 75.0%, the youngest 4 months. Clinical manifestations of phlegm and cough, fever, shortness of breath-based, and more accompanied by wheezing, lung signs were obvious; more extrapulmonary complications, mainly to the cardiovascular system involvement; chest X-ray examination showed bronchial pneumonia, More children with small airway function damage. IgM (MP-IgM) test were positive. Cases were treated with azithromycin budesonide inhalation therapy, glucocorticoid and critically ill patients with intravenous ball. After treatment, 55 cases were cured, 5 cases improved; 3 months follow-up, 3 cases recovered after treatment recovered. Conclusion Infantile Mycoplasma pneumonia pneumonia, acute onset, longer duration; Serum MP-IgM detection as the main diagnostic method, azithromycin is an effective drug for treatment, inhaled corticosteroids can reduce wheezing, severe cases should be promptly combined with immunization treatment.