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婴幼儿支原体肺炎所致疾病的症状与体征(作者译)

[Symptoms and signs in diseases caused by mycoplasma pneumoniae in infants and small children (author's transl)].

作者信息

Loós T, Szabó N, Szabó I, Mártha I

出版信息

Z Erkr Atmungsorgane. 1977;148(2):217-26.

PMID:919630
Abstract

In 12 children aged 8 month to 5 years (in the average 2,3 years), respiratory illness caused by Mycoplasma pneumoniae, could be secured with microbiological methods (growth inhibition, cultivation). The most common clinical, roentgenological and laboratory signs are discussed. A disease from Mycoplasma pneumoniae should be assumed, when a child will begin to cough often with staccato attacks without apnoea at night and has temperature short time after adimission to a group. The findings by auscultation are small but the X-ray-picture is showing marked alterations. A precise diagnosis can be achieved only with microbiological examinations (serology or cultivation). When there are no symptoms and signs described above, the diseases caused by Mycoplasma pneumoniae can be detected only if Mycoplasma serology has become a routine laboratory task in institutions for paediatric bronchopneumology.

摘要

在12名年龄为8个月至5岁(平均2.3岁)的儿童中,通过微生物学方法(生长抑制、培养)确诊了由肺炎支原体引起的呼吸道疾病。文中讨论了最常见的临床、放射学和实验室体征。当儿童开始频繁咳嗽,呈间断性发作,夜间无呼吸暂停,且入院后短时间内出现发热时,应考虑肺炎支原体感染。听诊结果不明显,但X线片显示有明显改变。只有通过微生物学检查(血清学或培养)才能做出准确诊断。如果没有上述症状和体征,只有当支原体血清学检测成为儿科支气管肺科机构的常规实验室检查项目时,才能检测出肺炎支原体引起的疾病。

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