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小儿支原体肺炎所致坏死性肺炎:5例报告并文献复习

Necrotizing pneumonitis caused by Mycoplasma pneumoniae in pediatric patients: report of five cases and review of literature.

作者信息

Wang Ruay-Shyang, Wang Shuo-Yu, Hsieh Kai-Sheng, Chiou Yee-Hsuan, Huang I-Fei, Cheng Ming-Feng, Chiou Christine C

机构信息

Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

出版信息

Pediatr Infect Dis J. 2004 Jun;23(6):564-7. doi: 10.1097/01.inf.0000130074.56368.4b.

Abstract

Mycoplasma pneumoniae infection is usually self-limited without severe sequelae. We report 5 pediatric patients with necrotizing pneumonitis caused by Mycoplasma pneumoniae and reviewed the reported cases in the English language. Protracted course of fever and respiratory distress were noted in all 5 patients. Macrolides and adequate chest tube drainage for pleural effusion were the mainstay of treatment.

摘要

肺炎支原体感染通常为自限性,不会导致严重后遗症。我们报告了5例由肺炎支原体引起的坏死性肺炎患儿,并回顾了英文文献中报道的病例。所有5例患者均有持续发热和呼吸窘迫症状。治疗主要依靠大环内酯类药物以及对胸腔积液进行充分的胸腔闭式引流。

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