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目的:探讨小儿肺炎支原体(MP)感染的临床特点及诊断治疗。方法:对86例肺炎支原体患儿的临床特点及诊治过程进行回顾性分析。结果:小儿肺炎支原体感染,均引起呼吸道损害,还可导致多系统、多器官损害。以学龄前及学龄儿发病率最高,主要引起呼吸道受累,也可导致肺外损害。结论:对于疑似患者及使用青霉素类或头孢类抗生素无效者,应尽早检测血MP-IgM抗体。红霉素疗效好,红霉素不耐受者给阿奇霉素治疗也取得好的疗效。
Objective: To investigate the clinical features and diagnosis and treatment of Mycoplasma pneumoniae infection in children. Methods: The clinical features, diagnosis and treatment of 86 cases of Mycoplasma pneumoniae were retrospectively analyzed. Results: Mycoplasma pneumoniae infection caused respiratory tract damage, but also led to multiple system and multiple organ damage. The highest incidence of pre-school and school-age children, mainly caused by respiratory involvement, can also lead to extra-pulmonary damage. Conclusion: For suspected patients and those who use penicillins or cephalosporins ineffective, blood MP-IgM antibodies should be detected as soon as possible. Erythromycin good effect, erythromycin intolerant to azithromycin treatment also achieved good results.