[摘要] 目的：分析总结小儿支原体肺炎的临床特点和治疗方法。方法：回顾性分析2007年5月～2009年12月在本院治疗的64例支原体肺炎患儿的临床资料。结果：收治的支原体肺炎小儿，主要症状有咳嗽、喘息、发热，个别患儿呼吸困难，肺外表现也较多见，伴有呕吐、腹泻、有心肌酶谱增高、癫痫发作、血尿、贫血、胸腔积液等。检测血清支原体(MP-IgM)阳性，患者用阿奇霉素治疗2～3周均治愈。结论：小儿支原体肺炎表现多种多样、小儿肺炎支原体感染并发肺外并发症者临床多见，以肺外脏器受累为首发症状或仅有肺外脏器受累者要考虑支原体感染的可能，血清学检测仍是目前早期诊断肺炎支原体感染的有效方法，用大环内酯类阿奇霉素治疗效果好，值得临床推广。

    [关键词] 儿童；支原体肺炎；临床治疗

    [中图分类号] R725.6 [文献标识码]C[文章编号]1674-4721(2011)07(c)-237-02

    Clinical analysis ofmycoplasma pneumonia

    LI Jing, YAN Haiqing

    Department of Pediatrics, the First Affiliated Hospital of XinxiangMedicalCollege, Henan Province, Weihui453100,China

    [Abstract] Objective: To analyze the clinical characteristics and treatment standard of mycoplasma pneumonia of children. Methods: The data of 64 cases of mycoplasma pneumonia admitted to our department from May 2007 to November 2009 were analyzed retrospectively. Results: The main clinical characteristics ofmycoplasma pneumonia of children included cough, gasp, fever, dyspnoea and concominant other organ dysfunction exclusive of lung included emesia, diarrhoea, creatase heighten, epileptic attack, blood urine, anaemia, pleural effussion etc. Elisa test was used to detect MP-IgM in blood serum. The treatment applied azithromycin 2-3 weeks. Conclusion: Children with mycoplasma pneumonia suffer from serious condition and long course of disease, some of them only display other organ dysfunction exclusive of lung, special, effective and early stage diagnosis should be applied to detect MP-IgM in blood serum, the treatment should apply azithromycin to reduce the occurrence of complications. ......