摘要
本文阐述了重症肺炎支原体肺炎(MPP)的诊断,分析重症MPP的临床特点、肺部影像学特点及血清学指标的特点。认为发热时间、肺部实变面积的大小、是否伴有胸腔积液、血清C反应蛋白(CRP)、血清乳酸脱氢酶(LDH)、白细胞介素(IL)-18、鼻咽分泌物或肺泡灌洗液MP-DNA载量、早期是否正确使用抗生素及对糖皮质激素的反应等,可用于重症MPP的早期识别。对临床有重症MPP发展趋势的患儿,如能做到早期识别并恰当治疗可减少后遗症的发生。
This paper expounds the diagnosis of severe MPP and analyzed the clinical characteristics of severe MPP, lung imaging characteristics, the characteristics of serological indexes. Through the fever time, the size of the area of consolidation of the lung, accompanied by pleural effusion and serum CRP,serum LDH, IL-18, nasopharyngeal secretions or alveolar lavage MP- DNA loads, whether using the correct antibiotics early, responsiveness to glucocorticoids, etc. These can be used in the early recognition of severe MPP. Once it occurs trend of severe MPP on clinical development of in children,early recognition and appropriate treatment can reduce the occurrence of sequelae.
出处
《中国实用儿科杂志》
CSCD
北大核心
2015年第3期176-179,共4页
Chinese Journal of Practical Pediatrics
关键词
重症
肺炎支原体
肺炎
早期
severe
mycoplasma pneumoniae
pneumoniae
early stage
