Clinical Characteristics,Laboratory Indicators,and High-resolution CT Features of Refractory Mycoplasma Pneumoniae Pneumonia in Children
Objective To analyze the clinical characteristics,laboratory indicators,and high-resolution CT features of refractory Mycoplasma pneumoniae pneumonia(MPP)in children.Methods A total of 121 children with MPP who were admitted to the hospital from August 2022 to November 2023 were reviewed.Among them,66 children with refractory MPP were included in the observation group,and 55 children with common MPP were included in the control group.All children received relevant laboratory tests and chest CT scan.Clinical characteristics,laboratory indicators,and CT features of the two groups were comparatively analyzed.Results There was no statistically significant difference in gender or age between the two groups(P>0.05).The duration of fever,length of hospital stay,and the proportions of decreased respiratory sounds and dullness of lung percussion in the observation group were significantly longer/higher than those in the control group(P<0.05).The levels of C-reactive protein(CRP),procalcitonin(PCT),white blood cell count(WBC),lactate dehydrogenase(LDH),and immunoglobulin(IgA)in the observation group were significantly higher than those in the control group(P<0.05).The incidence rates of pleural effusion,atelectasis,and pulmonary consolidation in the observation group were higher than those in the control group(P<0.05).Condlusion Children with refractory MPP and those with common MPP have different clinical characteristics and laboratory indicators.The incidence rates of pleural effusion,atelectasis,and pulmonary consolidation are higher in children with MPP.