18例重症肺炎支原体肺炎治疗及预后.doc

18例重症肺炎支原体肺炎治疗及预后
浙江大学医学院附属儿童医院310003
摘要:目的:探讨儿童重症肺炎支原体肺炎(Mycoplasma pneumoniae pneumonia, MPP)的治疗及预后。方法:对18例资料较全的重症MPP进行回顾性分析。结果:9例合并肺不张、肺实变,4例合并胸腔积液,2例合并心包积液;经抗感染、抗炎、对症支持治疗后18例均好转出院。结论:儿童重症MPP病情危重, 常合并肺不张或胸腔积液,病情发展快,早期诊断、及时合理地选择治疗,明显改善患儿预后。
关键词:儿童重症肺炎支原体肺炎;治疗;预后
Abstract: Objective: To evaluate children with severe pneumonia Mycoplasma pneumonia (Mycoplasma pneumoniae pneumonia, MPP) of treatment and : retrospectively analyze 18 patients with severe MPP that data : Nine cases with pulmonary atelectasis/lung consolidation, 4 cases with pleural effusion, 2 cases with pericardial effusion; After anti-infection,
anti-inflammatory, symptomatic and supportive treatment, 18 cases were improved
and : Children with severe MPP often associated with
atelectasis or pleural effusion, and had fast progression of the disease,but early
diagnosis,timely and reasonable choice of treatment can improved the prognosis
significantly.
keywords: severe pneumonia Mycoplasma pneumonia of children; treatment;
prognosis
肺炎支原体(Mycoplasma pneumoniae,MP)是学龄期儿童社区获
得性肺炎常见的病原菌之一,近年来临床重症MPP病例越来越多,且并发症多, 越来越引起大家关注。木研究回顾性分析了 18例重症MPP患儿的临床资料,分析重症MPP的治疗及预后。
1资料与方法
一般资料
选择浙江大学医学院附属儿童医院2016年1月至2016年6月收治的 18例重症MMP患儿,其中,男8例,女10例,≤3岁2例,>3岁16例; 入院前平均发热吋间:,;
:本组病例符合以下要求:1、符合重症肺炎诊断2、呼吸道分泌物支原体RNA阳性或血清支原体IgM抗体阳性3、排除肺部脓肿、医院获得性肺