Mycoplasma Pneumonia Clinical Features And Study On Changes Of Myocardial Enzyme

Objective:To discuss the infection of mycoplasma pneumonia in children and changes of myoglobin, myocardial), cardiac troponin I (CTnI), enzyme spectrum (Mb) electrocardiogram in our hospital and to improve the clinical diagnosis of MPP in children and to provide basis for intervention Methods:During the period of2010December to2012December,554cases of hospitalized patients with MPP were retrospectively analysed. Comparing the diversities such as different gender, seasonal MP antibody, different age of MPP in clinical symptoms, physical signs of the lungs, chest X-ray and c reactive protein(CPR) and manifestations. Among them, we choose the object that children in68cases(the observation group) who have variations in myoglobin, myocardial cardiac troponin I (CTnl), enzyme spectrum (Mb) and at the same time50children who have been done the physical examination in our hospital. By examing the contents of myocardial enzymes, cardiac troponin I (CTnI) in two groups and analyzing changes, ultimate results could be conducted. Result:Among the554children,120cases were detected positive, the positive rate of21.7%, of which female patients positive rate of31.5%, which can give statistically significant difference between men and women (P <0.01). It different ages degree, under one-year-old children with a positive rate of infants in the group was significantly lower than other age groups (P<0.01), the preschool group (4-6years old), the highest incidence (47.5%) of school-age group (7-15years old) accounted for41%; no obvious difference (P>0.05) in different seasono Infants and young children with shortness of breath, breathing symptoms and lung of dry and wet rale were significantly more than the older infants (P<0.05). Increased CRP, accounting for23.2%of infants and young children group, preschool group (39.6%), school age group (62.7%)(P<0.05). There were196children(accounted for36.0%) with extrapulmonary complications in which the diseases with a higher incidence included digestive system diseases, exudative pleurisy, myocarditis, and liver functional lesion.The chest X-ray manifestations were various in children with MPP. Those mainly were parenchymatous. infiltrative lesions of lung segment in the older age groups and were bilateral lesions in the infant group. Early (acute phase) MPP children with myocardial enzymes CTnI,Mb,detection of myocardial damage for MP infection with early diagnosis and therapeutic intervention has important significance. Conclusion:Different age children with MPP were different in clinical symptoms, CRP level, lung, chest X-ray manifestations, and MPP extrapulmonary manifestations. Myocardial enzyme nonintervention group compared with the intervention group increased obviously, show a close correlation degree of myocardial enzymes and intervention.