儿童支原体肺炎临床分析

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1、儿童支原体肺炎临床分析马向萍于晓磊蒋少华王军杰(银川市妇幼保健院宁夏银川750000)目的：了解木地区儿童支原体肺炎的临床特点。方注：对住院治疗的347例儿童支原体肺炎患儿临床特征进行回顾性分析。结果：1.347例儿童支原体肺炎患儿以1—7岁所占比例最高，占82.13%。2.婴幼儿组冬春季发病率高于少儿组，差异有统计学意义(P<0.05>。性别、民族比较差异无统计学意义(P>0.05)。3.少儿组高热及热程>4天比婴幼儿组显著升高，婴幼儿组全身症状显著高于少儿组，差异有统计学意义(P<0.05)。(4)体征：所有患儿都有呼吸增快，听诊呼吸音粗糙，婴幼儿组患儿肺部啰音较少儿组

2、患儿明显升高，差异有统计学意义(P<0.05｝。(5)实验室检查：病例组中性粒细胞比例、IgA、C3及C4显著低于对照组，病例组白细胞计数、淋巴细胞比例及CK-MB显著高于对照组，两组比较差异均有统计学意义(P<0.05>。病例组单核细胞比例、嗜酸粒细胞比例、血小板计数、CRP、血沉、IgG及IgM与对照组比较差异无统计学意义(P>0.05)。(6)X线检查：少儿组肺段实质浸润、肺纹理增粗及肺门影增浓显著高于婴幼儿组，两组比较差异均有统计学意义(P<0.05)。结论：木院儿童支原体肺炎的临床特点主要以1一7岁的患儿发病为主，好发于冬春季。发热、咳嗽以及全身症状为主要症状，婴幼儿肺

3、部体征重，常累及全身各系统，少儿组多出现高热且发热时间长。实验室检查白细胞计数、淋巴细胞比例及CK-MB升高，中性粒细胞比例、IgA、C3及C4测下降；影像学检查以少儿组严重，主要表现为肺段实质浸润、肺纹理增粗及肺门影增浓。【关键词】支原体肺炎；临床特点；分析；儿童R720.5A2095-1752(2015)07-0086-03Mycoplasmapneumoniaepneumoniainchildren【Abstract】ObjecfiveToexploretheclinicalfeaturesofMPPinchildreninthisregion.MethodsOf347cases

4、ofchildrenhospitalizedwithMPPinchildrenwithclinicalfeatureswereretrospectivelyanalyzed-Resultsl.347casesofchildrenwithmycoplasmapneumoniainchildrenwithl-7yearsoldthehighestproportionof,accountingfor82.13%.2.lnfantsandyoungchildrenwinterincidencethanchildren,sgroup,thedifferencewasstatisticallysi

5、gnificant(P<0.05).Gender,nationalitycomparesdifferencehasnostatisticalsignificance(P>0.05).3.Children'ssetofheatandheatprocess>4daysthanasignificantriseininfantsandyoungchildrengroup,infantsandyoungchildrensystemicsymptomissignificantlyhigherthanchildren'sgroup,thedifferencewasstatistic

6、allysignificant(P<0.05).4.Signs:allchidrenhavefaster,breathingauscultatebreathsoundsharshjnfantgroupsofchildrenwithlung'schildreninthejuvenile.sgroupincreasedsignificantly,thedifferencewasstatisticallysignificant(p<0.05).5.laboratorytests:theproportionofcasesneutrophils,lgA,C3andC4wassigni

7、ficantlylowerthancontrolgroup,thegroupofwhitebloodcellcount,lymphocyteproportionandCK-MBissignificantlyhigherthanthecontrolgroup,twogroupsofcomparativedifferencesarestatisticallysignificant(P<0.05).Proportionofcasesmonocy