Gusman B S, Moiseeva T A, Vasil'eva V I
Arkh Patol. 1975;37(3):51-6.
A total of 43 section observations on acute respiratory viral diseases in children aged between 13 days to 13 years are described. Using the direct and indirect fluorescent antibody test in 11 observations M. pneumoniae antigen was detected; in 4 observations this antigen was represented as monoantigen, and in 7 observations--in association with viruses of influenza, parainfluenza and adenovirus. The characteristic features of mycoplasma pneumoniae were noted; very high blood filling of vessels of all calibres with the involvement of the system of microcirculation of the lungs, with phenomana of pronounced dilatation of the capillary net and with a tendency to thrombo-formation; diffuse lesions (dystrophic and inflammatory changes) of large and small bronchi and bronchioles; plasmocellular reaction in interstitia of the lungs, perbronchial follicles and bifurcated lymphatic nodes; the presence of M. pneumoniae antigen in histological sections of the lungs. The author thinks it advisable to discard the term "M. pneumoniae-pneumonia" and replace it by "M. pneumoniae-infection" with predominent localization of the process in the lungs.
本文描述了对13天至13岁儿童急性呼吸道病毒性疾病的43例切片观察结果。在11例观察中，通过直接和间接荧光抗体试验检测到肺炎支原体抗原；在4例观察中，该抗原表现为单一抗原，在7例观察中，与流感病毒、副流感病毒和腺病毒相关。记录了肺炎支原体的特征：各级血管高度充血，累及肺微循环系统，出现毛细血管网明显扩张及血栓形成倾向；大小支气管和细支气管的弥漫性病变（营养不良和炎症改变）；肺间质、支气管周围滤泡和分叉淋巴结中的浆细胞反应；肺组织切片中存在肺炎支原体抗原。作者认为宜摒弃“肺炎支原体肺炎”这一术语，代之以“肺炎支原体感染”，该病程主要定位于肺部。
