单纯或混合细菌感染肺炎支原体肺炎临床对照分析(1)
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[摘要] 目的 了解单纯及混合其他细菌感染的肺炎支原体肺炎患儿临床表现差异。 方法 选择52例单纯肺炎支原体肺炎及31例混合细菌感染的肺炎支原体肺炎患儿临床资料，对其临床表现进行对比分析。 结果 混合感染组平均热程、住院天数长于单纯感染组(均P < 0.05)；两组患儿白细胞计数及中性粒细胞计数值差异有统计学意义(均P < 0.05)，CRP值差异无统计学意义(P > 0.05)；混合感染组患儿肺不张发生率增高(P < 0.05)，胸膜炎发生率差异无统计学意义(P > 0.05)。 结论 两组患儿临床表现存在一定差异，混合细菌感染是肺炎支原体肺炎病情迁延、难愈的因素之一。
[关键词] 肺炎支原体；细菌感染；临床特点；儿童
[中图分类号] R725.6 [文献标识码] B [文章编号] 1673—9701(2012)24—0033—02
Clinical contrast analysis of simple mycoplasma pneumoniae pneumonia or concurrent bacterial infection
CHENG Zhi CAO Jinghua HE Feng
Department of Pediatrics， Xiangtan Central Hospital in Hunan Province， Xiangtan 411100， China
[Abstract] Objective To investigate the difference of clinical manifestation of simple mycoplasma pneumoniae pneumonia or concurrent bacterial infection in children. Methods The clinical manifestation was contrast analyzed between simple mycoplasma pneumoniae pneumonia group (52 cases) and concurrent bacterial infection group (52 cases). Results The average heating times and inpatient days of concurrent bacterial infection group were significantly longer than simple mycoplasma pneumoniae pneumonia group (all P < 0.05). There were statistical differences of WBC and neutrophil between two groups (P = 0.03，P = 0.03) and CRP had no statistical difference (P > 0.05). The incidence rates of atelectasis of concurrent bacterial infection group were significantly higher than simple mycoplasma pneumoniae pneumonia group (P < 0.05). The incidence rates of pleuritis had no statistical difference (P > 0.05). Conclusion There are some difference of clinical manifestation between two groups and concurrent bacterial infection is the factor to affect the patient''s condition and healing of mycoplasma pneumoniae pneumonia ......
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