不同年龄组支原体肺炎临床分析

    Clinical analysis of Mycoplasma pneumonia in different age groups

    • 摘要: 目的:探讨不同年龄组小儿肺炎支原体(Mycoplasma pneumoniae,MP)肺炎的临床特征,提高对本病的认识。方法:将94例确诊为MP肺炎的患儿按年龄分为婴幼儿组、学龄前组及学龄组,对其临床资料进行回顾性分析。结果:发病年龄以学龄儿童多见(45.75%)。在症状、体征、胸部X线片及特异性MP-IgM抗体滴度等方面婴幼儿组与学龄前组和学龄组差异均有统计学意义(P<0.05),而学龄前组与学龄组差异无统计学意义(P>0.05)。94例患儿中有18例肺外并发症,但组间发生率差异无统计学意义(P>0.05)。所有病例用红霉素、阿奇霉素治愈。结论:小儿MP肺炎好发于学龄儿童,不同年龄组临床特点与机体免疫系统的发育水平、免疫反应程度有关。大环内酯类抗生素疗效肯定。

       

      Abstract: Objective: To explore the clinical characteristics of children's Mycoplasma pneumonia(MP) in different age groups and to improve the recognition of the disease.Methods: Ninety-four cases of MP were divided into three groups:infants,preschool children and school children,and their clinical data were analyzed retrospectively.Results: Fourty-three cases(45.75%) of the cases were school children.The infants group was significantly different from the preschool children group and the school children group in symptoms,physical signs,sternum and specific anti-MP-IgM antibody titer(P<0.05).However,the preschool children group and the school children group were similar in those aspects(P>0.05).The extra-pulmonary complications occurred in 18 cases,with no significant difference in the incidence rates among the three groups(P>0.05).All the cases responded well to erythromycin and azithromycin.Conclusions: Children's MP occurs most frequently in school children.The clinical characteristics of different groups are relevant to the development level of immunity and immunoreaction.Macrolides antibiotics is effective for treatment of MP.

       

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