136例婴幼儿肺炎支原体肺炎的临床分析

摘要

目的：探讨婴幼儿肺炎支原体肺炎（MPP）的临床特征和诊治。方法回顾分析2011年9月至2013年3月我院收治的136例婴幼儿MPP的临床资料，总结临床特点、早期诊断及治疗效果。结果婴幼儿MPP临床表现以发热、喘息、气促及咳痰症状为主，肺外伴随症状较多，以胃肠道症状（54．41％）、心肌受损（33．82％）和神经系统症状（27．94％）为主，MP-IgM阳性率为100．00％，红霉素、阿奇霉素序贯治疗效果好，治愈率为100．00％。结论婴幼儿MPP近年来有增多的趋势，MP-IgM阳性有利于早期诊断，红霉素、阿奇霉素序贯治疗支原体肺炎，疗效及患儿依从性均较好，适于临床推广。%Objective To explore the clinical feature and diagnostic therapy of pneumonia mycoplasma pneumonia(MPP)in in-fants.Methods Medical documents of 1 36 infants of MPP in our hospital from September,201 1 to March,201 3were analyzed retrospectively, in order to summarize the clinical characteristics,early diagnosis and treatment.Results A total of 1 36 cases of MPP were detected.The car-dinal symptoms were fever,wheezing,polypnea and expectoration.Complications of pulmonary symptoms occurred much more and mainly in gastrointestinal symptoms (54.41%),myocardial damage (33.82%)and neurological symptoms (27.94%),the positive rate of MP-IgM was 1 00.00%,and the effect of erythromycin and azithromycin sequential therapy were better with the cure rate of 1 00.00%.Conclusion There has been a growing trend of MPP in recent years,and positive MP-IgMis helpful in early diagnosis.Sequential treatment of erythromycin and azithromycin for mycoplasma pneumonia can obtain a highly treatment efficacy and compliance,thus it is suitable for clinical application.