ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (2): 170-172.doi: 10.3969/j.issn.1674-3865.2020.02.022

• 临床研究 • 上一篇    下一篇

儿童社区感染大叶性肺炎120例病原构成比及影像学特点分析

朱文斌，方俊梅   

  1. 322100 浙江 东阳，东阳市妇幼保健院儿科
  • 收稿日期:2019-12-16 出版日期:2020-04-25 上线日期:2021-05-17
  • 通讯作者: 朱文斌，E-mail：842424526@qq.com
  • 作者简介:朱文斌（1990-），男，主治医师。研究方向：小儿呼吸系统疾病的诊治

Analysis of pathogen composition and imaging characteristics of 120 children with lobar pneumonia infected in community

ZHU Wenbin,FANG Junmei   

  • Received:2019-12-16 Published:2020-04-25 Online:2021-05-17
  • Contact: ZHU Wenbin，E-mail：842424526@qq.com

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摘要： 目的 分析儿童社区感染大叶性肺炎的临床特点及病原学变迁。方法 选择2019年1月1日至2019年6月30日东阳市妇幼保健院收治的大叶性肺炎患儿120例作为研究对象，对120例大叶性肺炎病例的临床及病原学特点进行回顾性分析。结果 高发年龄为3～6岁；肺炎支原体感染73例(60.8％)，10例病毒感染(8.3％)，9例痰培养阳性(7.5％)；累及部位右肺为45.8％（55/120），多于左肺36.7％(44/120)，差异有统计学意义（P<0.05）；经系统治疗后，大部分患儿预后良好。结论 我院住院儿童社区感染大叶性肺炎中，肺炎支原体感染患病率较高，高发年龄为3～6岁，经治疗后预后良好。

关键词: 大叶性肺炎, 肺炎支原体, 儿童

Abstract: Objective To analyze the clinical characteristics and etiological changes of children with lobar pneumonia infected in communities.
Methods A total of 120 children with lobar pneumonia admitted to Dongyang Maternal and Child Health Care Hospital from January 1,2019 to June 30,2019 were selected as the research subjects,and the clinical and etiological characteristics of the 120 patients with lobar pneumonia were analyzed retrospectively.Results The high incidence age was 3-6 years old.There was Mycoplasma pneumoniae infection in 73 cases(60.8%) and virus infection in 10 cases(8.3%)，and sputum culture was positive in 9 cases(7.5%);45.8%(55/120) of the children had their right lung involved,more than 36.7%(44/120) of the left lung,and the difference was statistically significant(P<0.05).After systematic treatment,the prognosis of most children was good.Conclusion The prevalence rate of Mycoplasma pneumoniae infection is high among hospitalized children with lobar pneumonia in our hospital.The high incidence age is 3-6 years old,and the prognosis is good after treatment.

Key words: Lobar pneumonia, Mycoplasma pneumoniae, Children