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- W2380578980 abstract "Objective To investigate the clinical manifestation,imageology,lung function features,treatment process and prognosis of pediatric mycoplasma pneumoniea pneumonia,to provide diagnosis and treatment basis for the disease. Methods The clinical data of 312 cases of pediatric mycoplasma pneumoniea pneumonia were retrospectively analyzed.Results All the 312 cases aged between 5 months and 14 years [average age(6.7±2.1)years,included 183 boys and 139 girls].The main clinical features included cough(312 cases,100%),fever(253 cases,81.1%),dyspnea(63 cases,20.2%),wheeze(82 cases,26.3%),chest pain(24 cases,7.7%),abnormity in other system(92 cases,29.5%);133 cases with positive lung signs(42.6%);149 cases with normal white blood cell count(47.8%),132 cases with mild increased white blood cell count(42.3%),178 cases with normal neutrophils count(57.5%),82 cases with mild increased neutrophils count(26.3%),CRP of serum increased in 216 cases(69.2%);179 cases of chest film showed shadow in lung parenchyma(57.3%),52 cases showed atelectasis(16.7%);34 cases showed large tracts of infiltrates(40.5%),21 cases showed patchy shadow(25.0%),and 11 cases showed atelectasis(13.0%) in 84 chest CT;52 cases of mild decline(68.4%),and mainly changed in small airway function in 76 lung function examination;5 positive cases in 36 bronchodilation test(13.8%);8 positive cases in 40 bronchial provocation test(20.0%).Prognosis: hospital stay for(17±4)d,252 cases cured(80.8%),57 cases improved(18.3%),3 cases dead(0.9%)when discharge.During(6.3±1.3) months following up,lesions at chest CT fundamental absorpted of 25 cases within 33 patients when they discharged,8 cases still with atelectasis(9.5%),21 patients recovered in 24 mild lung function decline,6 cases still had mild lung function decline(25%),but none of them bronchodilation test positive(0),1 case bronchial provocation test positive in 21 patients whose lung function recovered(4.7%). Conclusion There are some clinical and imageology features of pediatric mycoplasma pneumoniea pneumonia,part of them had mild lung function decline or temporary airway responsiveness increase.Most of them have a good prognosis,but a few of severe cases may have atelectasis,pleural effusion,lung abscess,and necrotizing pneumonia etc,even caused complications outside the lung and delayed healing illness.It is important to follow up regularly,surgery should be taken when necessary to reduce sequela." @default.
- W2380578980 created "2016-06-24" @default.
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- W2380578980 date "2012-01-01" @default.
- W2380578980 modified "2023-09-28" @default.
- W2380578980 title "Clinical features,imageology and lung function of 312 children with mycoplasma pneumoniea pneumonia" @default.
- W2380578980 hasPublicationYear "2012" @default.
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