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目的探讨肺炎支原体(Mp)感染合并肝损害的治疗效果。方法选取2006年1月至2015年12月间,在某院住院诊断以肝脏损害为主要表现的Mp感染38例患者,采用t和X~2检验对治疗前后患者症状、检验结果对比分析。结果抗-Mp治疗3.1±0.9天体温降至正常,皮疹消退;3.9±0.7天呼吸道等症状消失,末梢血中心分叶细胞(NEU)比例恢复正常。治疗22.3±3.4天肝功正常。无明显不良反应和后遗症。结论 Mp感染合并肝损害表现为较典型急性肝炎消化道及全身症状,部分患者兼有呼吸道表现。及时足量大环内酯类联合左氧氟沙星抗-Mp及护肝治疗效佳。
Objective To investigate the therapeutic effect of Mycoplasma pneumoniae (Mp) infection combined with liver damage. Methods From January 2006 to December 2015, 38 patients with Mp infection, whose liver damage was the main manifestation in a hospital, were diagnosed. The t and X ~ 2 test were used to compare the symptoms and test results before and after treatment. Results After 3.1 ± 0.9 days of anti-Mp treatment, the body temperature dropped to normal and the rash subsided. After 3.9 ± 0.7 days, respiratory symptoms disappeared and the proportion of peripheral blood lobed leaf cells (NEU) returned to normal. 22.3 ± 3.4 days of normal liver function. No obvious adverse reactions and sequelae. Conclusion Mp infection with liver damage showed more typical digestive tract and systemic symptoms of acute hepatitis. Some patients also had respiratory manifestations. A timely and adequate macrolide combined with levofloxacin anti-Mp and liver treatment effective.