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目的探讨肺炎支原体(MP)与小儿肠系膜淋巴结炎的关系及临床意义。方法对183例小儿肠系膜淋巴结炎患儿的临床症状、实验室资料以及腹部彩超检查和阿奇霉素治疗效果进行分析。结果 56例患儿检测出支原体抗体阳性,占30.6%;患儿年龄均<5岁,其中有14例有反复发作腹痛病史,有2例腹痛病史在1月以上,有3例血常规白细胞计数>10×109/L;伴有腹腔积液2例,发热4例。结论肺炎支原体感染引起小儿肠系膜淋巴结炎临床不少见,应引起重视。
Objective To investigate the relationship between Mycoplasma pneumoniae (MP) and mesentery lymphadenitis in children and its clinical significance. Methods 183 children with mesenteric lymphadenitis in children with clinical symptoms, laboratory data and abdominal ultrasonography and azithromycin treatment were analyzed. Results 56 cases of children detected positive for mycoplasma antibody, accounting for 30.6%; children aged <5 years, of which 14 cases of recurrent abdominal pain history, 2 cases of abdominal pain in the history of more than in January, there are 3 cases of blood routine white blood cell count > 10 × 109 / L; with ascites in 2 cases, fever in 4 cases. Conclusion Mycoplasma pneumoniae infection caused by mesenteric lymphadenitis in children is not uncommon, should be taken seriously.