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目的观察肺炎支原体肺炎的临床特点及治疗。方法笔者对2004年1月至2007年12月住院的505例肺炎支原体肺炎的患儿的临床资料进行了分析。结果肺炎支原体肺炎一年四季均有发病,但冬春季多发,夏秋季较少;临床以高热、顽固性咳嗽、肺部啰音出现晚,易并发肺外损伤为多见。结论儿童感染肺炎支原体症状较重,有流行趋势,应尽早作肺炎支原体检测,选用大环内酯类药物治疗,必要时可加用头孢类抗生素、糖皮质激素、丙种球蛋白。
Objective To observe the clinical features and treatment of Mycoplasma pneumoniae pneumonia. Methods The author of the hospital from January 2004 to December 2007 hospitalized 505 cases of children with Mycoplasma pneumoniae clinical data were analyzed. Results Mycoplasma pneumoniae had incidence in all the year, but it was more in winter and spring and less in summer and autumn. Clinically, high fever, intractable cough, pulmonary rales appeared later, and extrapulmonary injuries were more common. Conclusion Mycoplasma pneumonia infection in children with severe symptoms, there is a trend, should be as early as Mycoplasma pneumoniae detection, use macrolides drugs, if necessary, add cephalosporins, glucocorticoids, gamma globulin.