小儿肺炎支原体肺炎肺外并发症116例分析.pdf

中国热带医学2015年第15卷第03期China Tropical Medicine,March2015,,·短篇论著·小儿肺炎支原体肺炎肺外并发症116例分析谢代彬海口市妇幼保健院,海南海口570203摘要:目的了解小儿肺炎支原体肺炎的感染状况及肺外表现的特点。方法对2332例肺炎支原体肺炎住院患儿取静脉血,采用ELISA方法检测肺炎支原体特异性抗体IgM(MP-IgM)。结果检测结果为MP-IgM阳性例数418例,%。其中有肺外表现的116例(%),<1岁22例,~3岁49例,~7岁30例,>7岁15例;男67例,%(67/1462),女49例,%(49/870),不同性别发生率差异无统计学意义(P>);发生率以<%(22/52),肺外器官损害以消化系统表现最多,为39例,其次是血液系统和心血管系统,各为26例和25例。结论肺炎支原体是原发性非典型肺炎的重要病原体之一,感染后除有肺部受损症状外,可有其他多器官、多系统受累表现,常给临床诊治带来困扰。关键词:肺炎支原体;肺炎;肺外并发症中图分类号::A文章编号:1009-9727(2015)03-372-02Clinical analysis of116Mycoplasmapneumoniaepneumonia infants plicationXIE Dai-binHaikou women and children hospital,Haikou570203,Hainan,:ObjectiveTo understand the clinical characteristics ofMycoplasmapneumoniaepneumonia infants Mycoplasma Pneumoniae- IgM(MP- IgM) antibody in2332hospitalizedinfants withMycoplasmpneumoniaepneumonia was detected by enzyme- linked immunosorbent assay(ELISA) positive for MP-IgM antibody were detected with the positiverate % and plications occurred to116cases (%) including67male cses (%) and49female cases (%), the nuber of cases in the age groups of <1year, -3years, -7years and >7years were22,49,30and15, incidence was the highest in infants under age of one year(%) There wa