|
|
Clinical features and risk factors of severe cases of children mycoplasma pneumonia |
Shen Ke, Lu Yangnan, Ye Feng. |
Pediatrics Department of People′s Hospital of Cixi in Zhejiang Province, Cixi, 315300,China |
|
|
Abstract Objective To explore clinical features and risk factors of severe cases of mycoplasma pneumoniae pneumonia (SMPP), provide basis for preventing and treating SMPP. Methods Retrospectively collected 52 cases of SMPP and 104 cases of MPP, then compared clinical features between mild case group and severe case group, and analyzed the risk factors of incidence of SMPP. Results The severe case group contrast with the mild case group, existed longer fever lasting time, longer course of disease, more WBC, higher CRP and ESR, higher positive rate of MP-IgM, much higher ratios of hypophyll diseased region, more large patches of the type of lesion and longer use time of large ring lactone. The risk factors of SMPP included in CRP (OR=6.228), ESR (OR=3.877), MP-IgM positivity (OR=8.244), hypophyll diseased region (OR=6.987) and large patches of the type of lesion (OR=11.462). Conclusion We learned the clinical features and the risk factors of severe HFMD. These might provide clinical basis for early detection, early diagnosis and early treatment of severe HFMD.
|
Received: 15 November 2014
|
|
|
|
[1] Qi JG, Zhang SJ, Chen YH. Clinical characteristics and therapy of severe mycoplasma pneumonia in children[J]. Chinese Journal of Contemporary Pediatrics, 2008,10(6):719-722. [2] Samaransamruajkit R, Jitchaiwat S, Wachirapaes W, et al. Prev-alence of mycoplasma and Chlamydia pneumonia in severe com-munity-acquired pneumonia among hospitalchildren in Thailand[J]. Jpn J Infect Dis, 2008,61(1):36-39. [3] 沈晓明,王卫平.儿科学[M].7版,北京:人民卫生出版社,2008:272-280. [4] 戴伟.儿童重症支原体肺炎的临床特点分析[J].当代医学,2013,19(29):50-51. [5] 中华医学会儿科学分会呼吸学组,《中华儿科杂志》编辑委员会.儿童社区获得性肺炎管理指南( 试行)(上) [J].中华儿科杂志,2007,45(2):83-90. [6] 陈志敏.合理治疗难治性肺炎支原体肺炎[J].中华儿科杂志,2013,51(10):724-728. [7] 张银美,唐云章.江苏地区儿童重症肺炎支原体肺炎的临床特征分析[J].实用临床医药杂志,2013,17(23):49-21. [8] 吴德泰.重症肺炎支原体肺炎的临床特征和危险因素分析[J].广州医药,2014,45(3):46-48. [9] 刘明伟.62 例小儿重症支原体肺炎高危因素分析[J].临床肺科杂志,2013,18(6):1022-1023. |
[1] |
Wang Hongjuan, Lai Haidan, Tao Zhaodi. Investigation analysis on risk factors of liver cirrhosis ascites with spontaneous bacterial peritonitis[J]. journal1, 2017, 24(2): 102-104. |
[2] |
. [J]. journal1, 2017, 24(2): 115-116. |
[3] |
Zhang Xiaofang, He Wenjun. Study on the incidence and risk factor of in-stent restenosis in elderly coronary heart disease patients after percutaneous coronary intervention[J]. journal1, 2017, 24(1): 1-4. |
[4] |
Zou Chenjun, Zhang Yingzhong, Liu Zhiwang, Tao Changlin. Study on extent and correlated influencing factors of cognitive function injury of depressed elderly patients[J]. journal1, 2017, 24(1): 34-36. |
[5] |
Gan Huiling, Li Xiaoyan, Xu Hui. Correlated risk factors analysis on prognosis of death of acute parquat poisoning patients[J]. journal1, 2016, 23(6): 415-417. |
[6] |
Dai jin, Luo Qunyan, Jia Lina. Investigation analysis on correlated risk factors of hyperbilirubinemia of neonate patients[J]. journal1, 2016, 23(6): 409-411. |
|
|
|
|