兒童支原體肺炎臨床分析

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1、兒童支原體肺炎臨床分析馬向萍于曉磊蔣少華王軍杰(銀川市婦幼保健院寧夏銀川750000)目的：了解木地區(qū)兒童支原體肺炎的臨床特點。方注：對住院治療的347例兒童支原體肺炎患兒臨床特征進(jìn)行回顧性分析。結(jié)果：1.347例兒童支原體肺炎患兒以1—7歲所占比例最高，占82.13%。2.嬰幼兒組冬春季發(fā)病率高于少兒組，差異有統(tǒng)計學(xué)意義(P<0.05>。性別、民族比較差異無統(tǒng)計學(xué)意義(P>0.05)。3.少兒組高熱及熱程>4天比嬰幼兒組顯著升高，嬰幼兒組全身癥狀顯著高于少兒組，差異有統(tǒng)計學(xué)意義(P<0.05)。(4)體征：所有患兒都有呼吸增快，聽診呼吸音粗糙，嬰幼兒組患兒肺部啰音較少兒組

2、患兒明顯升高，差異有統(tǒng)計學(xué)意義(P<0.05｝。(5)實驗室檢查：病例組中性粒細(xì)胞比例、IgA、C3及C4顯著低于對照組，病例組白細(xì)胞計數(shù)、淋巴細(xì)胞比例及CK-MB顯著高于對照組，兩組比較差異均有統(tǒng)計學(xué)意義(P<0.05>。病例組單核細(xì)胞比例、嗜酸粒細(xì)胞比例、血小板計數(shù)、CRP、血沉、IgG及IgM與對照組比較差異無統(tǒng)計學(xué)意義(P>0.05)。(6)X線檢查：少兒組肺段實質(zhì)浸潤、肺紋理增粗及肺門影增濃顯著高于嬰幼兒組，兩組比較差異均有統(tǒng)計學(xué)意義(P<0.05)。結(jié)論：木院兒童支原體肺炎的臨床特點主要以1一7歲的患兒發(fā)病為主，好發(fā)于冬春季。發(fā)熱、咳嗽以及全身癥狀為主要癥狀，嬰幼兒肺

3、部體征重，常累及全身各系統(tǒng)，少兒組多出現(xiàn)高熱且發(fā)熱時間長。實驗室檢查白細(xì)胞計數(shù)、淋巴細(xì)胞比例及CK-MB升高，中性粒細(xì)胞比例、IgA、C3及C4測下降；影像學(xué)檢查以少兒組嚴(yán)重，主要表現(xiàn)為肺段實質(zhì)浸潤、肺紋理增粗及肺門影增濃?！娟P(guān)鍵詞】支原體肺炎；臨床特點；分析；兒童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