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目的:探讨儿童支原体肺炎的临床表现及诊断治疗方法。方法:回顾性分析70例肺炎支原体肺炎患儿的临床资料。结果:发热、咳嗽是肺炎支原体肺炎患儿主要症状;婴幼儿伴发喘息的较多;影像学检查以肺内单侧斑片状阴影为多见;阿奇霉素及红霉素治疗有效。结论:支原体肺炎发病率较高,早期症状较重,体征较轻,胸部X线阴影明显。大环内酯类抗生素治疗有效,尤其是阿奇霉素,安全、效好。
Objective: To investigate the clinical manifestations and diagnosis and treatment of mycoplasma pneumonia in children. Methods: A retrospective analysis of 70 cases of children with Mycoplasma pneumoniae pneumonia clinical data. Results: Fever and cough were the main symptoms in children with Mycoplasma pneumoniae pneumonia. Infants with asthma were more likely to suffer wheezing. Radiographic examination was more common in unilateral patchy shadows in the lungs. Azithromycin and erythromycin were effective. Conclusion: The incidence of mycoplasma pneumonia is higher, the symptoms of early stage are heavier, the signs are lighter, the shadow of chest X-ray is obvious. Macrolide antibiotic treatment is effective, especially azithromycin, safe, effective.