难治性肺炎支原体肺炎一般是指肺炎支原体肺炎经大环内酯类抗生素治疗1周以上病情未见好转者。常表现为持续高热不退、顽固性咳嗽,易发生肺内外并发症。大环内酯类抗生素仍是目前主要治疗药物,但近年来耐药株的出现直接影响治疗效果。肺部或全身炎性反应强烈或合并严重肺外并发症者应早期使用糖皮质激素和(或)IVIG,并及时控制合并感染与肺内外并发症。 Refractory Mycoplasma pneumoniae Mycoplasma pneumonia is generally referred to Mycoplasma pneumoniae by macrolide antibiotics more than 1 week of treatment did not improve the condition. Often manifested as persistent high fever, intractable cough, prone to pulmonary complications. Macrolide antibiotics are still the main therapeutic drugs, but in recent years the emergence of drug-resistant strains directly affect the therapeutic effect. Severe pulmonary or systemic inflammatory response or severe pulmonary complications should be early use of glucocorticoid and (or) IVIG, and timely control of co-infection and pulmonary complications.