دورية أكاديمية

儿童肺炎支原体肺炎合并外周血 淋巴细胞计数减少的临床分析.

التفاصيل البيبلوغرافية
العنوان: 儿童肺炎支原体肺炎合并外周血 淋巴细胞计数减少的临床分析. (Chinese)
العنوان البديل: Clinical features of children with Mycoplasma pneumoniae pneumonia and peripheral lymphocytopenia. (English)
المؤلفون: 彭力, 钟礼立, 黄振, 黎燕, 张兵
المصدر: Chinese Journal of Contemporary Pediatrics; Jan2021, Vol. 23 Issue 1, p74-77, 4p
مصطلحات موضوعية: MYCOPLASMA pneumoniae infections, MYCOPLASMA pneumoniae, LYMPHOCYTE count, LACTATE dehydrogenase, LYMPHOPENIA, TOOTH erosion
الملخص (بالإنجليزية): Objective To study the clinical features of children with Mycoplasma pneumoniae pneumonia (MPP) and peripheral lymphocytopenia. Methods A total of 310 MPP children who were hospitalized and underwent bronchoalveolar lavage from June 2018 to June 2019 were enrolled and divided into two groups: simple MPP group with 241 children (without peripheral lymphocytopenia) and MPP + peripheral lymphocytopenia group with 69 children. The two groups were compared in terms of clinical data and treatment outcome. Results Compared with the simple MPP group, the MPP + peripheral lymphocytopenia group had significantly longer duration of fever and length of hospital stay and significant increases in C-reactive protein, lactate dehydrogenase, and Mycoplasma pneumoniae DNA copies in bronchoalveolar lavage fluid (P<0.05). Compared with the simple MPP group, the MPP + peripheral lymphocytopenia group had significantly higher incidence rates of intrapulmonary consolidation, extrapulmonary complications, and serious lesions under bronchoscopy (erosion or sputum bolt) and a significantly higher proportion of patients with severe MPP (P<0.05). Conclusions Children with MPP and peripheral lymphocytopenia tend to have more severe immunologic injury. Peripheral blood lymphocyte count may be used to evaluate the severity of MPP. [ABSTRACT FROM AUTHOR]
Abstract (Chinese): 目的 探讨儿童肺炎支原体肺炎(MPP)合并外周血淋巴细胞计数减少的临床特征。方法 纳 入2018 年6 月至2019 年6 月进行支气管肺泡灌洗的MPP 住院患儿310 例作为研究对象,包括单纯MPP 患儿 241 例(未合并外周血淋巴细胞减少),MPP 合并外周血淋巴细胞减少患儿69 例,比较两组患儿临床资料及治 疗转归。结果 与单纯MPP 组比较,MPP 合并淋巴细胞计数减少组的热程和住院时间均较长,C 反应蛋白、乳 酸脱氢酶、支气管肺泡灌洗液中肺炎支原体DNA 拷贝数值均显著升高(P<0.05)。MPP 合并淋巴细胞计数减少 组肺实变、肺外并发症、支气管镜下严重病变(糜烂/痰栓)及重症MPP 病例的发生率均明显高于单纯MPP 组 (P<0.05)。结论 MPP 合并外周血淋巴细胞计数减少患儿存在更严重的免疫损伤;外周血淋巴细胞数量可在 一定程度上反映MPP 的严重程度. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10088830
DOI:10.7499/j.issn.1008-8830.2009012