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目的:分析儿童支原体肺炎的临床特点、影像学表现与治疗手段。方法:回顾性分析2001年1月~2012年1月在我院住院的482例被确诊为支原体肺炎患儿的临床病历资料,包括各种检测结果、临床表现及治疗转归。结果:儿童支原体肺炎主要的临床症状为咳嗽及发热等;婴幼儿通常还伴有气短喘憋,听诊可闻及痰鸣音。影像学特征呈现多样性,斑片状阴影多见于婴幼儿,节段性、大片状阴影多见于学龄儿童。应用阿奇霉素联合激素治疗可获得很好的临床疗效。结论:儿童支原体肺炎具有临床表现和影像学表现不相符的特点,其影像学表现缺乏特异性。早期规范应用大环内酯类药物治疗,可有效缓解临床症状,对防止复发具有非常重要的临床意义。
Objective: To analyze the clinical features, imaging findings and treatment of children with mycoplasma pneumonia. Methods: Clinical data of 482 children with mycoplasma pneumonia who were hospitalized in our hospital from January 2001 to January 2012 were analyzed retrospectively. The results include various test results, clinical manifestations and treatment outcome. Results: The main clinical symptoms of children with Mycoplasma pneumonia were cough and fever; infants and young children were usually accompanied by shortness of breath and breath, auscultation and phonation. Imaging features show diversity, patchy shadows more common in infants and young children, segmental, large shadows more common in school-age children. Application of azithromycin combined with hormone therapy can be very good clinical efficacy. Conclusion: Mycoplasma pneumonia in children with clinical manifestations and imaging findings do not match the characteristics of the lack of specificity of imaging findings. Early normative application of macrolide therapy, which can effectively alleviate the clinical symptoms, to prevent recurrence has a very important clinical significance.