[Clinical analysis of the pathogenesis of mycoplasma pneumonia in children].

Lin Zhang
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引用次数: 0

Abstract

Objective: To study the clinical features and immune-mediated pathogenesis of mycoplasma pneumonia (MP) in children.

Methods: The DNA of mycoplasma in nasopharyngeal swabs was detected by PCR in 485 children with respiratory tract infection, and serum circulating immune complex (CIC), IgG, IgM, MP IgM, and CH50 were measured on the same day in 45 children with pneumonia.

Results: Significant difference was noted between the results of mycoplasma DNA PCR detection and those of serum IgM detection. The positivity rate of CIC was 44% in children with MP whereas that in the control group was only 10% (P<0.01). The levels of serum IgG and IgM in MP group was significantly higher and serum CH50 lower than those of the control group (P<0.05).

Conclusion: Mycoplasma DNA detection facilitates early diagnosis and treatment of MP, whose pathogenesis in children may be involved in immune-mediated mechanism.

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【儿童支原体肺炎发病机制的临床分析】。
目的:探讨儿童肺炎支原体(MP)的临床特点及免疫介导的发病机制。方法:对485例呼吸道感染患儿鼻咽拭子支原体DNA进行PCR检测,并对45例肺炎患儿当日血清循环免疫复合物(CIC)、IgG、IgM、MP - IgM、CH50进行检测。结果:支原体DNA PCR检测结果与血清IgM检测结果有显著性差异。MP患儿CIC阳性率为44%,对照组仅为10%(结论:支原体DNA检测有助于MP的早期诊断和治疗,小儿MP的发病可能与免疫介导机制有关。
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