[高血压医学论文]
【摘要】 目的 探讨小儿支原体肺炎的临床表现、X线表现，提高诊断、治疗水平。方法 采用回顾性研究方法对69例小儿肺炎支原体肺炎病例进行临床分析。结果 7个月~1岁发病例数占4.3%;1~3岁占17.4%;4~7岁占46.4%;8~13岁占31.9%。咳嗽占100%;发热占63.8%;56.5%无肺部体征。胸部X线表现右肺病变者占30.4%，左肺占18.8%，双肺占50.8%，肺间质性病变表现为两肺纹理增粗，边缘模糊，肺门增大，结构紊乱占62.3%;小叶性肺实质浸润病变表现为两肺中、下野内带斑片状及云絮状阴影，病灶融合可呈磨玻璃密度占30.5%;肺段实质性浸润病变 表现为边界清楚的三角形或扇形大片状高密度阴影占7.2%。检测血清肺炎支原体抗体IgM全部阳性。结论 小儿支原体肺炎好发于学龄儿童,血清学检测为诊断的主要手段;采用红霉素、阿奇霉素序贯治疗效果显著，总疗程3~4周。
【关键词】 支原体肺炎 诊断 儿童
[Abstract] Objective To discuss the young child mycoplasma pneumonia on the clinical manifestation, X performance, enhancing the diagnosis, the treatment level.Methods Used the review research technique to carry on the clinical analysis to 69 example young child pneumonia mycoplasma.Results 7 months~1 year old accounted for 4.3%; 1 year old~3 years old accounted for 17.4%; 4 years old~7 years old accounted for 46.4%; 8 years old~13 years old accounted for 31.9%.The cough accounted for 100%; heat accounted for 63.8%;56.5% had non-lungs symptoms.X displays right pulmonary tuberculosis accounted for 30.4%, the left lung accounted for 18.8%, the double lung accounted for 50.8%, between the lung natu……
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