摘要
目的探讨肺炎支原体(MP)感染性大叶性肺炎临床特征。方法对我院收住的86例支原体感染性大叶性肺炎病例进行分析。结果 86例支原体感染性大叶性肺炎有以下特点:以学龄期儿童多见,婴幼儿发病有增加趋势,病程长,呼吸道症状突出,稽留热少见,体征不典型,肺外损害多且突出,β-内酰胺类抗生素治疗无效,大环内酯类治疗有效。结论需掌握MP肺炎的临床特征,以大叶性肺炎为主要改变者应警惕肺炎支原体感染的可能,必要时早期应用大环内酯类药物。
Objective To explore the clinical characteristics of mycoplasma pneumonia infection of lobar pneumonia.Methods The clinical data of 86 mycoplasma pneumonia infection of lobar pneumonia that were diagnosed and treated at our hospital from January 2007 to December 2010 were analysed.Results The clinical characters of 86 lobar pneumonia mycoplasma pneumonia are different from those of before: majority of patients were children being student,the incidense of infants is increasing,the process was long,the samptoms of respiratory was tipical,the continuous fever was few,the physical sign may be not typical,the injury to lung was more and typical,the β-lactants antibiotic was not effective,but macrolides was effective.Conclusions Clinical characters of MP pneumonia are needed to master,children lobar pneumonia should pay attention to mycoplasma pneumonia infection,if necessary,should adopt macrolides in earlier period.
出处
《临床肺科杂志》
2011年第6期854-855,共2页
Journal of Clinical Pulmonary Medicine
关键词
肺炎支原体
大叶性肺炎
儿童
mycoplasma pneumonia
lobar pneumonia
children