儿童肺炎支原体感染性大叶性肺炎77例临床分析
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【摘要】目的:分析肺炎支原体感染导致儿童大叶性肺炎的临床特点及转归。方法:研究对象为我院儿科住院并确诊为肺炎支原体感染大叶性肺炎的患儿77例，对其临床表现，病原学及转归进行回顾性分析。结果:常见症状咳嗽77例(100 % )，发热73例(94.8%)，胸痛、胸闷5例(6.49%)，各型皮疹9例(11.7%)；肺炎支原体抗体阳性77例(100%)。结论 对于发热，咳嗽，尤其是发热及刺激性干咳时间长，肺部体征不明显，全身中毒症状不重者，注意肺炎支原体引起的大叶性肺炎的可能。治疗上以大环内酯类抗生素为主，总疗程在两周左右，合并细菌感染者应联合应用广谱抗生素至热退、白细胞、CRP恢复正常。
【关键词】儿童;肺炎支原体;大叶性肺炎
【中图分类号】R725.6【文献标识码】A【文章编号】1044-5511(2011)11-0133-01
【Objective】Purpose To analyze the clinical features and prognosis of children lobar pneumonia leaded by Pneumoniae Mycoplasma infections. Methods The subjects were 77 Hospitalized Children in our hospital and all of them diagnosed as lobar pneumonia infectioned by Pneumoniae Mycoplasma.To analysis their clinical manifestations、etiology and Outcome retrospectively. Results common symptom as cough 77 cases(100 % ),fever 73 cases(94.8%), chest pain and Chest tightness 5 cases (6.49%), Various types of skin eruption 9 cases(11 ......
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