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小儿肺炎支原体感染肺外并发症临床表现特点及诊疗体会

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目的:探讨180例肺炎支原体感染肺外并发症的临床表现特点及其诊疗体会。方法:回顾性分析我院2010年1月至2013年12月收治的267例M P感染患儿的临床资料,入院后给予267例患儿大环内酯类药物治疗,并针对合并肺外并发症的180例患者给予对症处理。观察并发症的临床表现特点及其诊疗体会。结果:全部267例患儿均治愈出院,住院时间(17.3±5.6)天,出院前各项检验结果均正常。180例合并肺外并发症患儿中,71例(39.44%)患儿出现消化系统症状,53例(29.44%)患儿出现心血管系统症状,56例(31.11%)患儿出现泌尿系统症状,15例(8.33%)患儿出现神经系统症状,26例(14.44%)患儿出现浆膜腔积液,5例(2.78%)患儿出现过敏性紫癜。结论:对于M P肺炎的患儿,主要给予大环内酯类抗菌药物治疗,但M P感染的肺外并发症较多,要给予足够的重视,及时对症处理。
Mycoplasma pneumoniae infection in children with pulmonary complications clinical features and treatment experience
Objective: To investigate 180 cases of Mycoplasma pneumoniae infection pulmonary complications of clinical features and treatment experience. Methods: A retrospective analysis of the clinical data of 267 cases of MP infection in children in our hospital from January 2010 to December 2013 were treated after admission to 267 cases of children with macrolide therapy and pulmonary complications for merger 180 patients were given symptomatic treatment. Observe the clinical features and treatment of complications experience. Results: Al 267 cases of patients were cured and discharged, hospital stay (17.3 ± 5.6) days, the test results were normal prior to discharge. 180 cases of children with pulmonary complications in 71 cases (39.44%) children with digestive symptoms, 53 cases (29.44%) children with cardiovascular symptoms, 56 cases (31.11%) children with urinary symptoms , 15 cases (8.33%) children with neurological symptoms, 26 cases (14.44%) children with effusion, 5 cases (2.78%) occurred in children with alergic purpura. Conclusion: For children with MP pneumonia, mainly given macrolide antibiotic therapy, but the MP extrapulmonary infection complications, should be given adequate attention, timely symptomatic treatment.

Mycoplasma pneumoniae infectionchildrenpulmonary complicationsDiagnosis and Treatment

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山东省济宁市第二人民医院小儿科 272100

肺炎支原体感染 小儿 肺外并发症 诊疗体会

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(26)
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