【摘要】目的：探讨难治性肺炎支原体肺炎患儿临床特点，找出危险因素。方法：研究时间为2021年8月—2022年8月，研究对象是本院88例肺炎支原体肺炎患儿，根据病情的严重程度分组，难治组有31例，普通组有57例，对比两组患儿临床情况以及相关的检查结果，多因素Logistic回归分析相关的危险因素。结果：难治组患儿年龄、发热持续时间、住院时间、临床表现(发绀、发热、寒战及心动过速)及体征与普通组比较有差异性(P<0.05)；难治组实验室指标与普通组比较有差异性(P<0.05)；难治组患儿影像学征象与普通组有区别(P<0.05)；多因素Logistic回归分析证实了发热持续时间、住院时间等因素是难治性肺炎支原体肺炎的危险因素。结论：难治性肺炎支原体肺炎患儿临床特点显著，疾病危险因素较多，通过本课题研究，可为难治性肺炎支原体肺炎早期诊断、治疗及预后改善提供保障。

    【关键词】难治性肺炎支原体肺炎；患儿；临床特点；危险因素

    Analysis of clinical characteristics and risk factors of children with refractory mycoplasma pneumoniae pneumonia

    FANG Moran

    Department of General Pediatrics， Xuancheng People’s Hospital， Xuancheng， Anhui 242000， China

    【Abstract】Objective：To investigate the clinical characteristics of children with refractory mycoplasma pneumoniae pneumonia and find out the risk factors.Methods：The study period was from August 2021 to August 2022.The study subjects were 88 children with mycoplasma pneumoniae pneumonia in our hospital.According to the severity of the disease ......