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目的 :探讨肺炎支原体 (MP)感染诱发咳嗽变异性哮喘 (CVA)的临床特点。方法 :对 2 6例本病患儿的临床资料进行回顾性分析。结果 :全部病例均以咳嗽为主要症状 ,肺部听诊及胸部X线检查基本正常 ,血MP IgM检测均阳性 ,大部分病人有家族过敏史或个人过敏史。单用大环内酯类抗生素治疗无效 ,应用支气管扩张剂 ,肾上腺皮质激素等药物疗效明显。结论 :对MP感染患儿 ,要警惕诱发CVA可能 ,必要时应用支气管扩张剂 ,以避免本病诊断上的疏漏
Objective: To investigate the clinical characteristics of Mycoplasma pneumoniae (MP) infection induced cough variant asthma (CVA). Methods: The clinical data of 26 children with this disease were retrospectively analyzed. Results: Cough was the main symptom in all cases. Pulmonary auscultation and chest X-ray examination were basically normal. The blood MP IgM test was positive. Most patients had a family history of allergy or personal allergy. Single macrolide antibiotics ineffective, the application of bronchodilators, adrenal hormones and other drugs have obvious curative effect. Conclusion: In children with MP infection, we should guard against the possible induction of CVA, if necessary, the use of bronchodilators to avoid the diagnosis of the disease omissions