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儿童呼吸道肺炎支原体感染分析

Analysis of respiratory infection of mycoplasma peneumoniae in children

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【作者】 黄卫宇阮飞徐谷

【Author】 HUANG Weiyu,RUAN Fei,XU Gu.Department of Pediatrics,the People’s Hospital of Zhuji,Zhuji 311800,Zhejiang

【机构】 浙江省诸暨市人民医院儿科浙江省诸暨市人民医院儿科 诸暨311800诸暨311800

【摘要】 目的了解本市肺炎支原体(MP)感染发病情况及临床特点,为预防和诊治MP感染提供参考。方法对2000~2005年我院收治的呼吸道感染患儿进行肺炎支原体抗体(MP-IgM)检测,并对703例阳性病例资料进行回顾性分析。结果MP感染患儿占呼吸道感染的22.06%,近年来呈增长趋势,发病年龄逐年提前,冬春季节儿童呼吸道支原体感染多发,临床表现以发热、咳嗽最为常见,常可累及心、肝、肾、胃肠道等肺外器官,红霉素+阿奇霉素序贯疗法治愈率为100%。结论MP是儿童时期呼吸道感染的重要病原体之一,婴幼儿及学龄前儿童为高危人群,MP-IgM检测结合临床可确诊,红霉素+阿奇霉素序贯疗法效果最佳。

【Abstract】 Objective To find out the incidence rate and clinical characteristics of mycoplasma peneumoniae(MP) infection,which can be used for preventing,diagnosing and treating MP infection.Methods From 2000 to 2005,MP-IgM,in all the respiratory infection children in our hospital were tested,and the datum of 703 positive cases were analyzed retrospectively.Results 22.06% cases of respiratory infection children were MP infection.Recently,MP infection had a tendency of increasing,and the age of the disease accuracy was advanced year by year.MP respiratory infection in children were frequently occurred in winter-spring season.Fevere and caugh were the commonest sign.Other orgous lide heart,liver,kidney and gastro intestine et al were often involved.The cure rate of erythromycin and azithromycin sequential therapy was 100%.Conclusion MP is one of the important etiologies for respiratory infection in child hood.Toddler’s and perschool age children are the high risk population.MP infection can be diagnosed with MP-IgM test combined with clinical display.The sequential therapy of erythromycin and azithromycin has the best effect for MP infection.

  • 【分类号】R725.6
  • 【被引频次】3
  • 【下载频次】77
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