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近年来国内外陆续有对肺炎支原体 (MP)肺外脏器受累和心脏受累的报道 ,为了进一步研究证实我地区该病的心脏受累情况及发生率。方法 :对 30 7例门诊及住院确诊为MP感染的患儿进行临床、心电图、胸部X线检查 ,并记录有关症状和体征 ,必要时测心肌酶谱 ,对发现有心脏受累者除按MP感染治疗外尚给予心脏支持疗法 ,并定期随访。结果 :有心脏受累者 46例、占 1 4 9% ,平均年龄 9 8±S1 72a。结论 :本文心脏受累者占MP感染的发生率较文献报道 (4 9% )明显为高 ,可能与多数患儿发病年龄较大存在再感染有关。我们认为凡MP感染的患儿应把心电图检查做为常规检查项目。
In recent years, there have been reports of involvement and involvement of extrapulmonary organs in Mycoplasma pneumoniae (MP) at home and abroad. In order to further study confirm the incidence and incidence of heart disease in our area. Methods: Clinical, electrocardiogram and chest X-ray examination were performed in 307 outpatients and hospitalized patients with MP infection. The symptoms and signs were recorded. If necessary, the myocardial enzymes were measured. In addition to MP infection Cardiac supportive therapy was given outside the treatment and was followed up regularly. Results: There were 46 cases of heart involvement, accounting for 14.9% with an average age of 9 8 ± S1 72a. CONCLUSIONS: The incidence of MP infection in the heart involved in this study was significantly higher than that reported in the literature (49%), which may be related to the re-infection of most children at the age of onset. We think that children with MP infection should use ECG examination as a routine test item.