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目的探讨儿童重症肺炎支原体肺炎(MPP)的诊治以及肺外表现。方法回顾性分析40例重症MPP患儿的临床特征、诊治过程。结果 40例中,起病急,高热、咳嗽剧烈36例;X线胸片可见肺野大片状致密影的33例,可见胸腔积液的23例;大环内酯类抗生素治疗5d以上无效,加用糖皮质激素治疗28例,静脉丙种球蛋白支持18例。D-二聚体升高20例,支气管镜检查可见大量痰栓8例。结论重症MPP的早期识别、及时诊疗对阻断病情进展、改善患儿预后有重要意义。
Objective To investigate the diagnosis and treatment of children with severe Mycoplasma pneumoniae pneumonia (MPP) and extrapulmonary manifestations. Methods Retrospective analysis of 40 cases of severe MPP in children with clinical features, diagnosis and treatment process. Results Of 40 cases, acute onset, fever and coughing were severe in 36 cases. Thirty-three patients with pleural effusion in the lung field and 23 pleural effusions were found on the X-ray. The macrolide antibiotics above 5 days were ineffective , Plus glucocorticoid treatment in 28 cases, intravenous gamma globulin support 18 cases. D-dimer increased in 20 cases, bronchoscopy showed a large number of sputum in 8 cases. Conclusion The early identification of severe MPP, timely diagnosis and treatment of disease progression, improve the prognosis of children with great significance.