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目的:了解成人肺炎支原体感染合并肝功能损害的临床特点,提高其诊断与治疗水平。方法:采用回顾性研究方法对本院收治的21例肺炎支原体感染合并肝功能损害病例进行临床分析。结果:本组21例患者均合并肝功能损害,发病时间冬春季高于夏秋季,男性高于女性。全部病例采用阿奇霉素序贯治疗4个疗程,同时做好保肝及对症处理,随着肺炎痊愈而肝功能逐渐恢复正常。结论:肺炎支原体感染合并肝功能损害只要足量足疗程抗感染及保肝治疗,预后良好。
Objective: To understand the clinical features of adult patients with mycoplasma pneumoniae infection and liver dysfunction and to improve their diagnosis and treatment. Methods: A retrospective study of 21 cases of mycoplasma pneumoniae infection with liver dysfunction in our hospital were analyzed. Results: Twenty-one patients in this group had liver dysfunction. The onset time was higher in winter and spring than in summer and autumn, and was higher in males than females. All cases of azithromycin sequential treatment of 4 courses, at the same time do a good liver and symptomatic treatment, with recovery of pneumonia and liver function gradually returned to normal. Conclusion: Mycoplasma pneumoniae infection with liver dysfunction as long as a sufficient amount of full-course anti-infective and hepatoprotective therapy, the prognosis is good.