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目的探讨成人肺炎支原体肺炎的临床特点,提高对本病的认识、减少误诊。方法对36例成人肺炎支原体肺炎的临床资料进行回顾性分析。结果成人肺炎支原体肺炎的临床表现以发热、咳嗽、咽痛、少痰为主,并可出现消化道症状、肝损害、皮疹等肺外表现,影像学改变多种多样,以片状、模糊状阴影为主,外周血白细胞正常25例(69.44%),升高6例(16.67%),降低5例(13.89%)。肺炎支原体抗体1:160为10例,1:320为12例,≥1:640为14例。结论成人肺炎支原体肺炎的临床表现复杂,影像学改变多种多样,单靠一般检查不易确诊,特殊实验室检查尤为重要。
Objective To investigate the clinical features of adult Mycoplasma pneumoniae pneumonia and to improve the understanding of the disease and reduce the misdiagnosis. Methods The clinical data of 36 cases of adult Mycoplasma pneumoniae pneumonia were retrospectively analyzed. Results The clinical manifestations of Mycoplasma pneumoniae pneumonia in adults were fever, cough, sore throat and less sputum. There were many extrapulmonary manifestations such as gastrointestinal symptoms, liver damage and skin rash. There were 25 cases (69.44%) with normal peripheral blood leukocytes, 6 cases (16.67%) increased and 5 cases (13.89%) decreased. Mycoplasma pneumoniae antibody 1: 160 in 10 cases, 1: 320 in 12 cases, ≥ 1: 640 in 14 cases. Conclusion The clinical manifestation of adult Mycoplasma pneumoniae pneumonia is complicated, and the imaging changes vary widely. It is not easy to diagnose by general examination alone. Special laboratory examination is especially important.