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目的探讨肺炎支原体肺炎伴发多系统、多脏器损害,提高临床医生对本病的认识,提高诊断及治愈率。方法2008年3月至2009年1月,29例肺炎支原体肺炎合并其他脏器改变患儿,进行总结与分析。结果其中合并血小板减少性紫癜5例,过敏性紫癜6例,肝功转氨酶改变16例,肾脏改变致肾小球肾炎2例,结论根据临床症状、体征和实验室检查、放射线检查多可获得诊断,对于治疗首选大环内酯类药,其次根据累及脏器对症治疗。
Objective To explore the mycoplasma pneumonia associated with multiple system and multiple organ damage, improve clinicians awareness of the disease, improve the diagnosis and cure rate. Methods From March 2008 to January 2009, 29 cases of Mycoplasma pneumoniae pneumonia combined with other organ changes in children were summarized and analyzed. Results Among them, 5 cases were complicated with thrombocytopenic purpura, 6 cases were allergic purpura, 16 cases were changed liver aminotransferase and 2 cases were caused by renal changes. Conclusion According to clinical symptoms, signs and laboratory tests, radiological examination can be diagnosed , For the treatment of preferred macrolides, followed by symptomatic treatment involving organs.