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目的 :探讨成人肺炎支原体感染的临床表现、肺外并发症、治疗原则及预后。方法 :5 7例患者诊断经临床表现、X线平片及血清颗粒凝集试验阳性确立。结果 :98.2 %患者有发热 ,平均持续时间为 (5 .1± 3 .7)天 ,66.7%患者有咳嗽 ;仅 12 .3 %肺内可闻及干湿啰音 ;X线胸片示全部患者有肺内病变 ,其中 3 1例 (5 4.4% )为斑片状影 ;75 .4%患者外周血白细胞正常 ;未发现严重肺外并发症 ;全部予大环内酯类药物治愈。结论 :成人肺炎支原体感染症状重 ,体症少 ,X线胸片发现支原体感染敏感 ,颗粒凝集试验阳性有确定诊断价值 ,大环内酯类抗生素疗效显著。
Objective: To investigate the clinical manifestations, extrapulmonary complications, treatment principles and prognosis of adult Mycoplasma pneumoniae infection. Methods: Fifty-seven patients were diagnosed by clinical manifestations, X-ray and serum particle agglutination test was established. Results: 98.2% of the patients had fever, with an average duration of (5.1 ± 3.7 days), 66.7% of the patients had coughs, only 12.3% of the lungs could smell wet and dry rales, and X-ray showed all Patients had intrapulmonary lesions, of which 31 cases (5.4%) were patchy; 75.4% of patients with normal peripheral white blood cells; no serious pulmonary complications were found; all were cured with macrolides. Conclusion: Mycoplasma pneumoniae infection in adults with severe symptoms, less physical symptoms, mycoplasma X-ray findings were sensitive, positive particle agglutination test has a definite diagnostic value, significant effect of macrolide antibiotics.