【摘要】：目的分析嬰兒沙眼衣原體肺炎臨床資料,明確嬰兒沙眼衣原體肺炎臨床特點(diǎn),提高臨床醫(yī)師對該病的診治水平。方法回顧性分析重慶醫(yī)科大學(xué)附屬兒童醫(yī)院2015年1月至2015年12月診治的174例住院嬰兒沙眼衣原體肺炎患兒臨床資料。結(jié)果174例患兒中男女比例為1.42:1,3月齡以內(nèi)發(fā)病者159例(91.4%),順產(chǎn)153例(87.9%)。單純沙眼衣原體檢出組(A組)55例,沙眼衣原體合并病毒檢出組(B組)23例,沙眼衣原體合并細(xì)菌檢出組(C組)81例。A組無熱比例顯著高于B組(61.8%vs34.8%,P=0.029),喘息持續(xù)時(shí)間顯著低于B組(5.36±4.20dvs9.78±7.12d,P=0.048),差異均有統(tǒng)計(jì)學(xué)意義。A組與C組相比在肺炎癥狀體征及實(shí)驗(yàn)室檢查等方面無明顯差別。胸部X線以雙肺彌漫性實(shí)質(zhì)病變?yōu)橹?表現(xiàn)為片絮影。胸部CT以節(jié)段性實(shí)變及小葉性實(shí)變等肺實(shí)質(zhì)浸潤常見,間質(zhì)性改變以樹芽征多見。所有患兒預(yù)后良好,無死亡病例。結(jié)論沙眼衣原體肺炎多見于3月齡以內(nèi)嬰兒,以無熱多見,伴有咳嗽、喘息、氣促,白細(xì)胞計(jì)數(shù)常有不同程度升高。合并病毒感染可使發(fā)熱及喘息比例增加,喘息持續(xù)時(shí)間延長。阿奇霉素為治療首選,嬰兒沙眼衣原體感染可發(fā)展為重癥肺炎,經(jīng)積極抗感染及對癥治療后均預(yù)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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