【摘要】 [背景]探讨小儿重症支原体肺炎(SMPP)的临床特征.[病例报告]回顾性分析2016年9月至2016年11月间接受治疗的29例SMPP患儿的临床资料,记录患儿曾出现的症状、各项体征、影像学表现及并发症等.X线表现:29例均表现为双肺纹理增强、边缘模糊,其中7例可见斑点状或小斑片状影,22例见大斑片状或大片状影.高分辨CT(HRCT)表现:29例均可见单侧或双侧片状实变影,其中5例出现支气管充气征.并发症:肝损伤2例,胸腔积液7例,急性中耳炎1例,低钾血症1例.肺炎支原体抗体检验均呈阳性.[讨论]SMPP中重症病例较多见,临床症状较明显.更多还原

【Abstract】 BACKGROUND To discuss the clinical characteristics of severe mycoplasma pneumonia(SMPP)in children.CASE REPORTS The clinical data of 29 children with SMPP treated from September2016 to November 2016 were analyzed retrospectively.The symptoms,signs,imaging performance and complications of the children were recorded.Chest X-ray showed that lung markings were enhanced and the edges were blurred in all of the 29 cases.Small patchy shadows were found in 7 cases,and large patchy shadows were found in 22 cases.The results of HRCT showed that 29 patients appeared unilateral or bilateral flake consolidation,5 cases appeared air bronchogram.The results of complications showed that liver injury occurred in 2 cases,pleural effusion occurred in 7 cases,acute otitis media occurred in 1 case and hypokalemia occurred in 1 case.The antibody test of mycoplasma pneumoniae was positive in all of the cases.DISCUSSION Severe cases were more common in SMPP,and the clinical symptoms were more obvious.更多还原