婴儿沙眼衣原体肺炎临床特征分析

发布时间：2019-07-02 18:29

【摘要】：目的分析婴儿沙眼衣原体肺炎临床资料,明确婴儿沙眼衣原体肺炎临床特点,提高临床医师对该病的诊治水平。方法回顾性分析重庆医科大学附属儿童医院2015年1月至2015年12月诊治的174例住院婴儿沙眼衣原体肺炎患儿临床资料。结果174例患儿中男女比例为1.42:1,3月龄以内发病者159例(91.4%),顺产153例(87.9%)。单纯沙眼衣原体检出组(A组)55例,沙眼衣原体合并病毒检出组(B组)23例,沙眼衣原体合并细菌检出组(C组)81例。A组无热比例显著高于B组(61.8%vs34.8%,P=0.029),喘息持续时间显著低于B组(5.36±4.20dvs9.78±7.12d,P=0.048),差异均有统计学意义。A组与C组相比在肺炎症状体征及实验室检查等方面无明显差别。胸部X线以双肺弥漫性实质病变为主,表现为片絮影。胸部CT以节段性实变及小叶性实变等肺实质浸润常见,间质性改变以树芽征多见。所有患儿预后良好,无死亡病例。结论沙眼衣原体肺炎多见于3月龄以内婴儿,以无热多见,伴有咳嗽、喘息、气促,白细胞计数常有不同程度升高。合并病毒感染可使发热及喘息比例增加,喘息持续时间延长。阿奇霉素为治疗首选,婴儿沙眼衣原体感染可发展为重症肺炎,经积极抗感染及对症治疗后均预后良好。
[Abstract]:Objective to analyze the clinical data of chlamydia trachomatis pneumonia in infants, to clarify the clinical characteristics of chlamydia trachomatis pneumonia in infants, and to improve the diagnosis and treatment of Chlamydia trachomatis pneumonia. Methods the clinical data of 174 hospitalized infants with chlamydia trachomatis pneumonia from January 2015 to December 2015 were analyzed retrospectively. the clinical data of 174 hospitalized infants with chlamydia trachomatis pneumonia from January 2015 to December 2015 were analyzed retrospectively. Results the ratio of male to female in 174 cases was 1.42 鈮，

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