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目的探讨小儿肺炎支原体感染的临床特点和临床治疗体会。方法回顾性分析近2年我院儿科收治85例肺炎支原体感染患儿的临床资料和治疗经过。结果经红霉素或阿奇霉素治疗后76例痊愈,9例2～3个月后复发,再次治疗后痊愈。结论早期诊断和及时治疗是控制该疾病病情的关键因素,肺炎支原体多发于学龄前和学龄期儿童,具有小范围流行的特点;呼吸道症状突出,表现为剧烈阵咳、少痰;肺部体征少、X线改变出现早且明显;用青霉素、头孢类抗生素治疗无效,用大环内脂类治疗效果好。
Objective To investigate the clinical features and clinical experience of Mycoplasma pneumoniae infection in children. Methods The clinical data and treatment of 85 children with Mycoplasma pneumoniae infection admitted to our hospital during the past 2 years were retrospectively analyzed. The results of erythromycin or azithromycin after treatment, 76 cases recovered, 9 cases 2 to 3 months after recurrence, cured again after treatment. Conclusions Early diagnosis and prompt treatment are the key factors to control the disease. Mycoplasma pneumoniae is often found in pre-school and school-age children and has the characteristics of small-scale epidemic. The symptoms of respiratory tract are prominent with severe cough and phlegm. , X-ray changes appear early and obvious; with penicillin, cephalosporins antibiotics ineffective, macrocyclic lipids treatment effect.