儿童肺炎支原体肺不张的诊断要点

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (35 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical diagnostic essentials of atelectasis of pediatric Mycoplasma pneumoniae and raise awareness of the disease.Methods Retrospective analysis was performed on 672 cases of Mycoplasma pneumoniae pneumonia who were admitted in Department of Respiratory, Quanzhou Children′s Hospital from January 2019 to April 2020 which were divided into atelectasis group and normal group according to the lung image, 336 cases in each group.The clinical indexes of the two groups were compared, Logistic regression analysis was used to count the risk factors of atelectasis, and the ROC curve was drawn to find the reference cut-off value of atelectasis.Results The fever, wet rales and pleural effusion in the atelectasis group were more than those in the control group, and the history of allergy and wheezing in the atelectasis group were less than those in the control group, the differences were statistically significant (P＜0.05).Heat course, neutrophil proportion, C-reaction protein (CRP), lactic dehydrogenase (LDH)and DNA damage and repair (DDR) in the atelectasis group were higher than those in the control group, and the differences were statistically significant (P＜0.05).ROC curve showed that fever duration≥2.5 d, neutrophil ratio≥50.7%,CRP≥14.04 mg/L, DDR≥0.51 mg/L, LDH≥345.5 U/L, which were helpful for the diagnosis of atelectasis.Conclusion Children with Mycoplasma pneumoniae pneumonia with heat course longer than 2.5 d, lack of allergic history,presence of wet rales, neutrophils proportion, CRP, LDH, DDR above the critical values should pay attention to complicated with atelectasis.

Key words： Children Mycoplasma pneumoniae Atelectasis Diagnosis

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHEN Qiong-hua
	ZHENG Jing-yang
	CHEN Tian-feng
	LIN Chun-yan
	LIN Yin-tao
	LIN Yang-sheng

Cite this article:

CHEN Qiong-hua,ZHENG Jing-yang,CHEN Tian-feng, et al. Diagnosis essentials of atelectasis of pediatric Mycoplasma pneumoniae[J]. 中国当代医药, 2021, 28(10): 8-11.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I10/8

[1]	赵德育，陈慧中，郑跃杰，等.肺炎支原体感染的诊断[J].中华儿科杂志，2016，54（2）：98-100.
[2]	陈莉莉，刘金荣，赵顺英，等.常规剂量甲泼尼龙治疗无效的儿童难治性肺炎支原体肺炎的临床特征和治疗探讨[J].中华儿科杂志，2014，52（3）：172-176.
[3]	Deng H，Rui J，Zhao D，et al.Mycoplasma pneumoniae23S rRNA A2063G mutation does not influence chest radiography features in children with pneumonia[J].J Int Med Res，2018，46（1）：150-157.
[4]	郑敬阳，张晓红，曾丽娥，等.儿童难治性肺炎支原体肺炎97 例临床特征分析[J].医学理论与实践，2016，29（22）：3030-3033.
[5]	朱桂兰，章金娟.儿童肺炎支原体肺炎发生气道堵塞的影响因素分析[J].中国妇幼保健，2020，35（14）：2640-2643.
[6]	吴素丽，王宏鑫，王萌，等.WBC 与CRP 和D-D 及FIB 对肺炎支原体感染的诊断效果分析[J].中华医院感染学杂志，2020，30（3）：346-349.
[8]	李宁，陈言钊，周克英.乳酸脱氢酶在儿童难治性肺炎支原体肺炎诊断和治疗中的意义[J].中国小儿急救医学，2017，24（4）：305-308.
[10]	付小丽，袁天明，吕聪聪，等.D-二聚体升高肺炎支原体肺炎患儿的临床特点及治疗方法探讨[J].浙江临床医学，2020，22（6）：836-838.
[11]	贺艺璇，张春峰，吴润晖，等.D-二聚体在肺炎支原体肺炎患儿病情及预后判断中的应用[J].中华实用儿科临床杂志，2019，34（22）：1702-1706.
[12]	曹可，常桂芬，高曼，等.儿童大叶性肺炎严重程度与血浆D-二聚体的相关性[J].中国妇幼保健，2018，33（3）：592-594.
[7]	Neeser OL，Vukajlovic T，Felder L，et al.A high C-reactive protein/procalcitonin ratio predictsMycoplasma pneumoniaeinfection[J].Clin Chem Lab Med，2019，57（10）：1638-1646.
[9]	Huang L，Huang X，Jiang W，et al.Independent predictors for longer radiographic resolution in patients with refractoryMycoplasma pneumoniaepneumonia：a prospective cohort study[J].BMJ Open，2018，8（12）：e23719.
[13]	王崇杰，骆学勤，罗健，等.46 例重症肺炎支原体肺炎合并胸腔积液患儿临床及预后分析[J].临床儿科杂志，2020，38（4）：269-274.
[14]	Yeh JJ，Wang YC，Hsu WH，et al.Incident asthma andMycoplasma pneumoniae：A nationwide cohort study[J].J Allergy Clin Immunol，2016，137（4）：1017-1023.
[15]	鲁靖，赵顺英，宋蕾，等.不同影像学表现的儿童肺炎支原体肺炎临床特征[J].中华实用儿科临床杂志，2017，32（4）：284-288.