儿童大叶性肺炎合并肺炎支原体感染的临床特征(1)
【摘要】 目的：通过分析儿童大叶性肺炎合并肺炎支原体感染的临床特征，为疾病诊治提供依据。方法：以本院2012年8月-2014年8月收治的120例支原体肺炎患儿为研究对象，其中支气管肺炎55例，设为对照组，大叶性肺炎合并肺炎支原体感染65例，设为观察组，比较两组患儿年龄、肺炎表现、并发症、治疗及转归等情况。结果：观察组发病年龄集中在5～12岁，发热(38.5 ℃以上)、胃肠症状、精神症状、肝及心肌损害、胸腔积液及肺不张并发症分别为84.62%、24.62%、20.00%、52.31%、27.69%，与对照组的54.55%、9.09%、3.64%、23.64%、7.27%比较差异均有统计学意义(P<0.05)。观察组2周胸片吸收率明显比对照组少(P<0.05)，另外两组平均住院时间[(18.20±3.58)d vs(12.08±1.85)d]比较差异有统计学意义(P<0.05)。结论：大叶性肺炎合并肺炎支原体感染以学龄期儿童为主，易合并肺外并发症，疗程长且胸片吸收相对慢。
【关键词】 大叶性肺炎； 肺炎支原体感染； 临床特征
, 百拇医药
Clinical Characteristics of Children Lobar Pneumonia Combined with Mycoplasma Pneumoniae Infection/XIE Chu-xing.//Medical Innovation of China，2015，12(18)：140-142
【Abstract】 Objective：To analyze clinical characteristics of children lobar pneumonia combined with mycoplasma pneumoniae infection，and offer the basis for the diagnosis of illness.Method：120 cases of mycoplasma pneumoniae infection hospitalized from August 2012 to August 2014 who were selected as study objects，there were 55 cases of bronchial pneumonia，who were selected as control group，there were 65 cases of lobar pneumonia combined with mycoplasma pneumoniae infection，who were selected as the observation group，age，pneumonia show，complications，treatment and prognosis of performance of children patients of two groups were compared.Result：Illness age incidence of children patients of the observation group were from five to twelve，fever(above 38.5 ℃)，gastrointestinal symptoms，psychiatric symptoms，liver and cardiac damage，pleural effusion and pulmonary atelectasis complications were respectively 84.62%，24.62%，20.00%，52.31%，27.69%，those of the control group were 54.55%，9.09%，3.64%，23.64%，7.27%，the differences had statistical significance(P<0.05).X-ray absorption rates of two weeks of the observation group were significantly less than those of the control group(P<0.05)，average hospitalization time of other two groups were[(18.20±3.58)d vs(12.08±1.85)d]，the difference had statistical significances(P<0.05).Conclusion：Lobar pneumonia with pneumonia mycoplasma infection is main school aged children，easily combined with pulmonary complications，course of treatment is long and chest X-ray absorption is relatively slow.
, 百拇医药
【Key words】 Lobar pneumonia； Mycoplasma pneumoniae infection； Clinical characteristics
First-author’s address：The Eighth People’s Hospital of Dongguan，Dongguan 523000，China
doi：10.3969/j.issn.1674-4985.2015.18.054
肺炎支原体(MP)作为最小的已知病原微生物，介于细菌与病毒之间，独立存在且以呼吸道飞沫传播为主，是引发小儿肺炎的主要病原体之一[1]。小儿肺炎支原体肺炎胸片表现形式多样，其中以大叶性肺炎为主，近年来肺炎支原体肺炎合并大叶性肺炎呈现不断上升趋势，且以学龄前、学龄期儿童为主，易合并胸腔积液、肺不张等并发症[2]，严重影响患儿身心发育及学习。为此了解大叶性肺炎合并肺炎支原体感染临床特征，对疾病早期诊治、并发症预防具有十分重要的意义。基于此，本研究通过与单纯支气管肺炎比较，总结大叶性肺炎合并肺炎支原体感染的特征，报告如下。, http://www.100md.com(谢楚杏)
【关键词】 大叶性肺炎； 肺炎支原体感染； 临床特征
, 百拇医药
Clinical Characteristics of Children Lobar Pneumonia Combined with Mycoplasma Pneumoniae Infection/XIE Chu-xing.//Medical Innovation of China，2015，12(18)：140-142
【Abstract】 Objective：To analyze clinical characteristics of children lobar pneumonia combined with mycoplasma pneumoniae infection，and offer the basis for the diagnosis of illness.Method：120 cases of mycoplasma pneumoniae infection hospitalized from August 2012 to August 2014 who were selected as study objects，there were 55 cases of bronchial pneumonia，who were selected as control group，there were 65 cases of lobar pneumonia combined with mycoplasma pneumoniae infection，who were selected as the observation group，age，pneumonia show，complications，treatment and prognosis of performance of children patients of two groups were compared.Result：Illness age incidence of children patients of the observation group were from five to twelve，fever(above 38.5 ℃)，gastrointestinal symptoms，psychiatric symptoms，liver and cardiac damage，pleural effusion and pulmonary atelectasis complications were respectively 84.62%，24.62%，20.00%，52.31%，27.69%，those of the control group were 54.55%，9.09%，3.64%，23.64%，7.27%，the differences had statistical significance(P<0.05).X-ray absorption rates of two weeks of the observation group were significantly less than those of the control group(P<0.05)，average hospitalization time of other two groups were[(18.20±3.58)d vs(12.08±1.85)d]，the difference had statistical significances(P<0.05).Conclusion：Lobar pneumonia with pneumonia mycoplasma infection is main school aged children，easily combined with pulmonary complications，course of treatment is long and chest X-ray absorption is relatively slow.
, 百拇医药
【Key words】 Lobar pneumonia； Mycoplasma pneumoniae infection； Clinical characteristics
First-author’s address：The Eighth People’s Hospital of Dongguan，Dongguan 523000，China
doi：10.3969/j.issn.1674-4985.2015.18.054
肺炎支原体(MP)作为最小的已知病原微生物，介于细菌与病毒之间，独立存在且以呼吸道飞沫传播为主，是引发小儿肺炎的主要病原体之一[1]。小儿肺炎支原体肺炎胸片表现形式多样，其中以大叶性肺炎为主，近年来肺炎支原体肺炎合并大叶性肺炎呈现不断上升趋势，且以学龄前、学龄期儿童为主，易合并胸腔积液、肺不张等并发症[2]，严重影响患儿身心发育及学习。为此了解大叶性肺炎合并肺炎支原体感染临床特征，对疾病早期诊治、并发症预防具有十分重要的意义。基于此，本研究通过与单纯支气管肺炎比较，总结大叶性肺炎合并肺炎支原体感染的特征，报告如下。, http://www.100md.com(谢楚杏)