张世娟,苏壮志,陈秉良.中老年支原体肺炎的临床分析(附20例报告)[J].中国医学影像技术,1998,14(5):335~337
中老年支原体肺炎的临床分析(附20例报告)
The Clinical Analysis of Mycoplasmal Pneumonia in Middle and Old Patients with 20 Cases Attached
投稿时间:1997-10-28  
DOI:
中文关键词:  中老年  支原体肺炎
英文关键词:Middle and old age  Mycoplasmal pneumonia
基金项目:
作者单位
张世娟 首都医科大学宣武医院综合内科 
苏壮志 首都医科大学宣武医院综合内科 
陈秉良 首都医科大学宣武医院综合内科 
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中文摘要:
      目的:对一组中老年支原体肺炎病例进行分析, 以提高诊断水平减少误漏诊。材料方法:20例患者诊断经临床表现, X线平片所见和血清间接血凝试验阳性确立。结果:患者均有发热, 平均温度38.0°±0.7°C, 血白细胞升高和血沉加快者仅8例, 余12例属正常范围, 体征轻微。X线胸部平片显示肺内病变为100%, 其中肺野出现斑片状阴影者15例(75%).全组病例应用红霉素治疗治愈, 复查胸部X线平片, 肺部病灶消失。结论:中老年支原体肺炎表现更不典型, X线胸部平片发现支原体肺炎敏感, 间接血凝试验阳性有确定诊断价值, 大环内酯类抗生素疗效显着。
英文摘要:
      Purpose:A series of patients with mycoplasmal pneumonia in middle and old age were analysed,so that we could enhance our diagnostic level and reduce misdiagnosis or missed diagnosis.Materials and Methods:The diagnosis of 20 patients were established by clinical manifestation,X ray plain film findings and seropositive of indirect agglutination test.Results:All patients had fever,average temperature was 38.0°±0 7°C.Only 8 cases had blood sedimentation accelerated and hyperleukocytosis.The signs was slight.X ray plain film of the chest depicted the lesion of intrapulmonary in 100%,in which 15 cases were patchy and spotted shadow.All patients were cured by erythromycine,and the lesions disapeared on X ray plain film of the chest.Conclusion:Manifestation of mycoplasmal pneumonia in middle and old age is more atypical.X ray plain film of the chest is a sensitive method to find mycoplasmal pneumonia.Seropositive of indirect agglutination test has the value of establishing the diagnosis.The macrolides antibiotic has excellent curative effect.
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