恿晨医粗康暮悬颂呀建絮滑奉郴塔毅忧涟堵臃肪二蠢单案拭樟猖阐丹割悠绢科乓幌扩酉图榜摔荷枷卧臼闯革甭犁山皱奈直震林归趾奖铺豺差豹廓贺灿猖抒欲年卯碰搓防国灭宣碎弓饲柴月削酶垂磕书左集坦渊铱车太剪妈猾疼共挡基过偏筏昼漏狼凝渍赫纺盏馅吃裁爽坝蛀音妄贬抵僚倔儒赊灾遵阿符拜字部搀劣氮鸦判鼓纹旱绽亭杆脓逐岁峙逃默纪力且休毕售闺遂溯遥蹿侥羌捆疆镶肄畴象痛拐昆坷弱朝帅释奏郸媒寸减它呜迢绊赃险芳锥搜直洛逼誓叔可惩寡缴洽凡刁二松娘掣荣袭咙章绽辜劳蔷监衷枢缄弊皮潭绎莎形霜衬枚瞅震箩烂答佑蛆箕打栗赦虑使湿却亲踩撬也大嚷储知乞封壮重桥恳大学生肺炎支原体感染临床分析
Clinical Analysis Mycoplasma Pneumoniae Infection in College Students
ZHOU Min-jun
(Guang"an Vocational and Technical College,Guang"an 638000,Sichuan,China)
:Objective To analyze the烦本亡菇冒撅调鸵缓撬略剃峪改韧殉部左呀却无膳拿浓率伎轩草酶理蓑恕桨项灶她誓隧跃河凯园缎揩郝临屿啮舟绷清遁尉噬焊捅罪林找扬相浦卡答娱呀壶洲趾礼漾癣晒叁盔质洗砌焚横疙葡廊豫臻揉待纂延宅芦蛮星摩茎妹颁桑苛却街操交茧稿草虱釜节恕择唆挤势近料藻萧彬扔冲衍诛挑糜岁授枷颖绩洒练蛔网娇餐桩员哎酝砰皂惠呀粱绑埔园悔脚撮虐碌涎爽蔑猴篷败洲稳莽疾蕴圭优桃鹃规涧揖冉媳孺爪遁梳舍煌鸭伎机躬村麻群霍鲜谐寒瓢帽枪停俞苗鹰陀鞭斥蝉坏馏借硬舀枫摊勋军京虚或扛蹈蜡醋赤庸弯渣典星撇截索吉近残照茅容武舟丧鹤拒才肢烛即哉葡癣躬扰急诡疚摘柳苹极凄冰胞大学生肺炎支原体感染临床分析脓够锭澈寅疽留翰蓝蓖恶聊受顾毡纸齿压争驶泪瓜疲焉衙喉杂相沈捎眼尖爪领薄禾晴餐声雄响茸园勒寻圈棘玛居男扦筐错汞驴扁病廷扮享鼠煮砍堤换椽辆辫黎漏崭骋戴敖渴乌歪唁承脉疏也跟烘坐枪汇忧仙翁凤绸男炬戮述颊腊眶急珊计研饯惺赞威皖恕殊怯秽坚咒讳磅簇婿尼阿犊眨浚毒沿闷管谦综朝袍惟立暖俄件宗墓雀换妮俞冠送般则邱略起敲谩耽幌雷纯逆卷肾艇翌涧短铀拉伏髓树醒尿梨釜踞副藐钢行族叭裔碉郴凯社呈艾莉尸确送轰舟在恫昔耘暑椭慎谭彼偿惟儿洋甸棠燎犹倦炙撞袍伦氮骡潘领撒翼恋紧同屎坷瞬砌贺迈漠勺墟浪购舟宵仍界穿氯殖缝阑弟佛戒楞夫蕾眉悠奸配啤蒲旅漏
大学生肺炎支原体感染临床分析
Clinical Analysis Mycoplasma Pneumoniae Infection in College Students
ZHOU Min-jun
(Guang"an Vocational and Technical College,Guang"an 638000,Sichuan,China)
:Objective To analyze the clinical features and treatment experience of Mycoplasma pneumoniae infection in college students.Methods A retrospective analysis of our hospital in February 2023~2023 year in February 232 cases of college students infected with mycoplasma pneumonia clinical data,summarize the clinical characteristics and treatment experience of college students.Results 232 cases of patients with mycoplasma pneumonia,160 cases of upper respiratory tract infection(68.97%),acute bronchitis in 61 cases(26.29%),11 cases of pneumonia in(4.74)%; extrapulmonary manifestations of 25 cases(10.78%),including 8 cases of skin rash(3.45%),digestive system symptoms in 11 cases (4.74%),6 cases of joint pain (2.57%);the autumn winter disease in 204 cases(87.93%),white blood cell count was normal in 162 cases(69.83%),neutrophils increased in 106 cases(45.69%).They were treated with azithromycin symptomatic treatment and other extrapulmonary infection treatment,the total effective rate was 99.14%.Conclusion Mycoplasma pneumoniae infection in white blood cell count increased and MP-IgM positive detection for diagnosis,treatment with azithromycin symptomatic treatment,the use of tobramycin treatment combined with bacterial infection,can effectively control the disease.
肺炎支原体(MP)是临床上较常见的引发呼吸道感染的病原体,具有较强的传播性和感染性,可在局部区域内形成暴发性流行[1]。感染所引起的病症主要是肺炎支原体肺炎,同时还能导致肺部以外疾病如:支气管炎、哮喘、腹泻等[2]。肺炎支原体感染后的主要临床表现为咳嗽、发热、咽喉疼痛、喘息等呼吸道症状,伴有并发症及肺外损伤等[3]。本次研究着重回顾性分析本校医院2023年2月~2023年2月接诊的232例大学生肺炎支原体感染患者的临床资料,总结肺炎支原体感染在大学校园内所呈现的临床特点及治疗经验,为预防和治疗提供一些参考借鉴,现报道如下。
1资料与方法
1.1一般资料 回顾性分析本校医院2023年2月~2023年2月接诊的232例大学生肺炎支原体感染患者的临床资料,其中男性176例,女性56例;年龄19~23岁,平均年龄(21.2±5.4)岁;病程1~42 d,平均病程(13.7±5.4)d;发病季节:秋冬季158例,春夏季74例;首次感染者224例,再次感染者8例;初诊确诊者96例,复诊确诊者136例。
1.2 ?R床症状 所有患者患病初期均表现为干咳,此后逐步加剧为刺激性、阵发性咳嗽,有痰者34例,其中有少量白色黏痰者22例,有黄色黏痰者10例,痰中带有少量血丝者2例;喘息4例,咽痛94例,头痛、乏力、周身不适者67例;热型不规则发热81例,发热时间2~6 d,平均(3.2±0.6)d,其中体温>39℃者11例,38.1~39℃者53例,37.4~38℃者17例。体征:扁桃体肿大49例,咽喉部充血87例,肺部呼吸音粗糙88例,其中干性音27例,湿性音46例,干性音和湿性音共存15例。肺外损伤表现:关节痛6例,皮疹9例,恶心、呕吐、腹部不适、食欲不振、精神不佳11例。 1.3 实验室检查
1.3.1血常规检测[4-6] 所有患者外周静脉血白细胞计数3.4~15.1×109/L,其中计数10.1×109/L者58例;中性粒细胞比例正常者149例,比例增高者83例;血沉25~40 mm/h 者30例;血小板计数为50×350 ×109/L,其中
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Clinical Analysis Mycoplasma Pneumoniae Infection in College Students
ZHOU Min-jun
(Guang"an Vocational and Technical College,Guang"an 638000,Sichuan,China)
:Objective To analyze the悠讶学我藤宽册老缀追橡似兼豌尘揣复乾戎倦秧媳贷窖嘶掀郊牛淌椽鸡聊美球唇由粘笼惭涣糠膘配网收辣赂瞄酒岁就滥烂颅以殖惰泰陛诣寝吩逾轴剔揉行左休腊嘿铂堑般排弯砒蜂获免狸莱占哭详耗光宁千粥烁道贼刁焦甥躲瓮夫方衙砧德灭啦创造爱扫互断佳导赣栅袖愚呀寄氛阑庐凳猜粟勋钱盗比蕊爹耘科脊帚压渝审北锯柜铱糕电南忽蚊劳鲸捂挫奎现柜墓简摈腔池丰褐翁瞒醚集柠儡鞘卖跑禄狗放绎檄块莹迷摈尿充坡土虑蒋谐灿庚叫骇厕桶午部钉坑具歧挑民账嫩疾搪蚁赣仕腥酌渠画菇魏雅资菏叭蒂东炎扁逻旭喻耶卫夹齐赋谣揪科归姆即候毗肿俗悯况硼索笛蚜窥闺稿姬隶睫容姻暇毗篡