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目的分析儿童肺炎支原体(MP)感染的临床特点和治疗方案。方法整理分析我院儿科收治的125例MP感染患儿的临床资料。结果学龄前和学龄儿童易感染,且可集体发病;病程5d-4个月,临床症状以咳嗽、发热为主,多数肺部体征不明显或较轻,胸部X线检查大多无明显异常;白细胞计数(WBC)及中性粒细胞(N)大多不升高;肺炎支原体抗体IgM(MP Ab-IgM)检测均为阳性。结论儿童MP感染的临床特点是上呼吸道症状及肺部症状反复发作,且病程较长,但肺部体征较轻;阿奇霉素是治疗儿童MP感染的首选药物,混合细菌感染者早期与第三代头孢类药物联合治疗,控制效果好。
Objective To analyze the clinical features and treatment of Mycoplasma pneumoniae infection in children. Methods To analyze and analyze the clinical data of 125 children with MP infection treated in our hospital. Results Preschool and school-age children were susceptible to infection and had collective disease. The course of the disease ranged from 5 days to 4 months. The clinical symptoms were mainly cough and fever. Most of the lung signs were insignificant or slight, most of chest X-ray showed no obvious abnormalities. Most of the counts (WBC) and neutrophils (N) did not increase; the detection of Mycoplasma pneumoniae IgM (MP Ab-IgM) was positive. Conclusion The clinical features of childhood MP infection are upper respiratory symptoms and recurrent pulmonary symptoms, and longer course of disease, but the signs of lungs are lighter. Azithromycin is the first choice of treatment for children with MP infection. In early stage of mixed bacterial infection, Drug treatment, good control effect.