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儿童支原体肺炎临床表现与年龄、性别的关系

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目的探讨儿童支原体肺炎(MPP)的临床表现与年龄、性别的关系.方法 对1110例经ELISA法检测血清支原体(MP)抗体结合PCR法确诊的病例的临床资料进行回顾性分析.结果 1110例患儿中男598例,女512例,男女比例2.08∶ 1,平均年龄(7.3±3.3)岁,其中婴幼儿190例,学龄前期550例,学龄期210例,青春期150例,临床表现婴幼儿期MPP起病相对较急,咳痰、喘息症状明显,肺部干性啰音多,体温相对较低,平均热程短,学龄组儿童多表现为高热,干咳症状重,肺部体征轻,平均发热时间长,MPP肺部X线小叶实质性浸润学龄前组和学龄组明显多于要幼儿组,肺外侵犯消化系统损伤学龄期组少于其他组,心脏、肾脏、皮肤损害各组间无明显差异,胸膜受累主要见于学龄期和青春期组,性别与临床表现差异无统计学意义.结论 儿童支原体肺炎临床表现与年龄有一定关系,临床医生应根据不同年龄特点给予相应的诊断、治疗.
The relationship between age stage or geader and clinical characteristics of mycoplasma pneumoniae in children
Objective To analyzed the relationship between Age stage or geader and clinical characteristics of myco-plasma pneumoniae in children. Methods The chiei clinical manifestations of 1 110 hospitalized children with MPP confirmed by ELISA positive mycoplasma pneumniae (MP) igM and PCR techniques from respiratory ward in our hospital; a retrospective study was performed to the childrens clinical features. Results Of total 1 110 patients, 598 were boys and 512 were girls (M ' F=1.16:1). The means age was (7. 33 ±3.33) year, 190 cases were infants, 550 cases were pre-school age,210 cases were school age, 150 cases were adolescence. The clinical characteristics of MPP in infants had more wet coughs,wheezings and rales,the onset of illness was more acute,but the digree in temperature was lowet and the length of fever time was shorter, whereas, the majority of school-age children with MPP-shoued higher fever, severe nonproductive coughs, slight pulmonary sighns and longer fever time. More segmental parenchymtous infiltrstion of chest X-ray cound be found in preschool or school -age than that in infants. Gegestive system were common extrapulmonary in school -age,There was no differences in extrapulmonary of cardiac system, kid,skin in three groups, there were more pleural abnormalities in school -age and adolescence than infants and preschool age. Conclusions There was certain relationship between the Age stage and clinical characteristics of mycoplasma pneumoniae in children, but no in geader.

Pneumonia, MycoplasmapathologyAge Factors', Sex Factors

张晓虹

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陕西省博爱医院儿科,陕西西安 710065

肺炎,支原体/病理学 年龄因素 性别因素

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(16)
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