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简介:摘要目的探讨肺炎支原体(MP)所致成人呼吸系统感染的临床特点及治疗方法。方法回顾性分析248例成人肺炎支原体感染患者的临床特点及治疗方法。结果本组病例均以慢性咳嗽为主要症状,其中44例伴低至中度发热,114例伴咽痛,92例伴胸闷,肺部湿啰音144例。初期临床诊断急性咽喉炎、急性支气管炎、肺炎等,经相应抗炎等治疗后疗效不佳,其后改变思路经检测MP-IgM(+)确诊为MP致呼吸系统感染,采用左氧氟沙星联合阿奇霉素,或单用阿奇霉素治疗1~2个疗程,显效率为100%,全部治愈。结论肺炎支原体致成人呼吸系统感染起病隐匿,易被延迟诊断,发病率呈逐年增高之势。应提高对该病认识,尽可能早期诊断,并予规范治疗。
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