Department of Pediatric Internal, Children's Hospital of Fudan University Xiamen Branch, Xiamen, 361006, China.
Adv Ther. 2020 Jan;37(1):265-271. doi: 10.1007/s12325-019-01129-8. Epub 2019 Nov 9.
This study aims to explore the clinical characteristics, treatment, and prognosis of mycoplasma pneumonia complicated with atelectasis.
A retrospective analysis was performed on 122 children with mycoplasma pneumonia complicated with atelectasis. These children were hospitalized in the Xiamen Campus of the Pediatric Hospital of Fudan University and the Children's Hospital of Xiamen between December 2015 and December 2018. A diagnosis was made for each case on the basis of the clinical symptoms and signs, Mycoplasma pneumoniae-specific IgM antibody, and imaging results.
Among the 122 cases with mycoplasma pneumonia complicated with atelectasis, all cases had retractable M. pneumoniae infection, 102 cases underwent fibrobronchoscopic lavage treatment, and all cases were treated with macrolide antibiotics after a definite diagnosis was made. Furthermore, 107 cases improved and were discharged. Follow-up was performed for 3-4 weeks for all patients, and all patients, including the five cases with retractable disease, recovered well.
The major clinical manifestations for M. pneumoniae pneumonia are fever and stimulatory dry cough. Macrolide antibiotics remain the treatment of choice.
本研究旨在探讨肺炎支原体肺炎合并肺不张的临床特征、治疗方法和预后。
对 2015 年 12 月至 2018 年 12 月在复旦大学儿科医院厦门分院和厦门市儿童医院住院的 122 例肺炎支原体肺炎合并肺不张患儿进行回顾性分析。根据临床症状和体征、肺炎支原体特异性 IgM 抗体和影像学结果诊断每例患儿。
在 122 例肺炎支原体肺炎合并肺不张患儿中,均有可复性肺炎支原体感染,102 例行纤维支气管镜灌洗治疗,确诊后均使用大环内酯类抗生素治疗。107 例患儿好转出院。所有患儿均随访 3-4 周,包括 5 例病情可复性患儿在内的所有患儿均恢复良好。
肺炎支原体肺炎的主要临床表现为发热和刺激性干咳。大环内酯类抗生素仍然是治疗的首选。