【摘要】 重症肺炎支原体肺炎(SMPP)是常见的儿童社区获得性肺炎。SMPP早期识别、高耐大环内酯类药物肺炎支原体(MRMP)感染和并发症监测值得重视。早期识别SMPP危险因素需结合临床特征、炎症生物学标志物及影像学特征。高MRMP感染流行地区，应及时选用新型四环素类(多西环素/米诺环素)或氟喹诺酮类抢先治疗。未来应加强MRMP监测、优化预警模型，并探索多学科协作的管理策略。更多还原

【Abstract】 Severe Mycoplasma pneumoniae pneumonia( SMPP) is a common community-acquired pneumonia in children. The early detection of SMPP,as well as the monitoring of highly macrolide-resistant Mycoplasma pneumoniae( MRMP)infection and complications deserve attention. The early detection of risk factors for SMPP requires a combination of clinical features,inflammatory biological markers and imaging features. In the regions where MRMP infection is highly prevalent,new tetracyclines( doxycycline/minocycline) or quinolones should be promptly selected for early treatment.In the future,efforts should be made to strengthen the monitoring of MRMP,optimize its early warning model,and explore the management strategies involving multidisciplinary collaboration.更多还原