【摘要】 目的:分析肺炎支原体(MP)感染肺外脏器受损的临床特征和治疗结果。方法:采用SERODIA-MYCOⅡ明胶凝集法检测血MP-IgM,对MP-IgM≥1:80确诊为MP感染的45例患儿进行回顾性临床分析。结果:①45例患儿均有呼吸道表现,22例合并肺外脏器受损(占48.9%),其中年长儿17例,受损脏器中以消化、泌尿、血液系统多见,分别为36.4%、31.8%、22.7%,皮肤损害(4.1%)少见;全部病例经大环内酯类抗生素治疗7天左右好转,出院后继续服药2周痊愈。②实验室检查中:血Mp-IgM均≥1:80,C反应蛋白(CRP)>15mg/L。结论:MP感染临床特征及胸部X线表现缺乏特异性,且易有肺外脏器受损,尤以肺外并发症为首发症状时,更易造成误诊;对于治疗不理想的呼吸道感染及多脏器受损的呼吸道感染,应注意是否有被MP感染的可能,并及时进行相关的检测,以及早确诊,对因治疗。更多还原

【Abstract】 Objective:Analyse clinical features and treatment outcome of extrapulmonary organ damage in mycoplasma pneumoniae infection of children.Methods:Using SERODIA-MYCOⅡ gelatin agglutination test of blood MP-IgM,with retrospective clinial analysis to the MP-IgM≥1:80 MP infection diagnosed 45 cases of children.Results:①45 cases of children had respiratory performace,22 cases with extrapulmonaty organ damage(48.9%),among 17cases was elder children,.Damaged orgams including digestive,urinary and blood system,respectively 36.4%,31.8%,22.7%,skin lesions was.rare(4.1%);All Patients were macrolide antibiotic for 7 days treatment,After the out of hospital the outpatient service take medicine again 2weeks healimgs.②In laboratory inspeetion blood MP-IgM ≥1:80;Cresponds the protein(CRP) > 15mg /L。 Condusion:Clinical features and the chest X performance of MP infection lack specificity,easily extrapulmonaty organ damage,especially extrapulmonaty complication as first round symptoms to the error diagnosis.We should pay attention to the MP infection if occuring multi-internal organs damage or not good treatment,and carry on the correlation examination promptly by dignosis early.更多还原