儿童肺炎支原体肺炎诊疗思路述评

Review on diagnosis and treatment of mycoplasma pneumoniae pneumonia in children

  • 摘要: 肺炎支原体肺炎(mycoplasma pneumoniae pneumonia,MPP)是5岁以上儿童常见的社区获得性肺炎,具有一定自限性,轻症儿童可在门诊接受治疗。近期儿童MPP患病率呈显著升高趋势,部分儿童因合并肺实变、肺不张、肝功能异常、呼吸衰竭等肺内肺外并发症而住院治疗,给我国公共卫生系统带来巨大挑战。本文基于相关指南、专家共识及国内外最新研究进展,重点关注儿童MPP的治疗及康复,并针对诊疗过程中遇到的问题及挑战提出相应学术观点,为提高儿童MPP的诊疗水平提供支持。

     

    Abstract: Mycoplasma pneumoniae pneumonia (MPP) is a common form of community-acquired pneumonia in children over 5 years, with a certain degree of self limitation, and mild cases can be treated in outpatient department. The prevalence of MPP in children has significantly increased recently, with some cases necessitating hospitalization due to complications such as consolidation, pulmonary atelectasis, liver function abnormalities, respiratory failure, and other intrapulmonary and extrapulmonary complications. This disease has placed a significant burden on our public health system. Based on relevant guidelines, expert consensus and the latest research, this article focuses on the treatment and rehabilitation of MPP in children. It organizes in-depth ideas on the diagnosis and treatment of this disease and presents corresponding academic views on the problems and challenges encountered in the process of diagnosis and treatment, aiming to provide support for enhancing the diagnosis and treatment of MPP in children.

     

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