| Objective To investigate epidemiological and clinical characteristics of severe mycoplasma pneumonia in children.Methods The clinical data of 106 cases of children with severe mycoplasma pneumonia in our hospital from January 2014 to December 2016 were retrospectively analyzed, including the onset of the season, clinical symptoms, laboratory and imaging studies, complications, treatment options and prognosis.Results School-aged children accounted for 46.23% of total cases with severe mycoplasma pneumonia, who had high incidence in winter. The main clinical symptoms were fever, cough, shortness of breath, difficulty in breathing and increased inflammatory index. The imaging examination was mainly composed of large lamellar shadow and pulmonary consolidation. The incidences of atelectasis and pleural effusion were 38.68% and 27.36% respectively. 49.06% of children were with extra-pulmonary complications. Hormones were added to 58.49% of children, 5.66% with plus intravenous gamma globulin treatment, and 53.77% with plus electronic bronchoscopic alveolar lavage. All children were discharged after improvement.Conclusion The incidence of severe mycoplasma pneumonia is related to age and season. Severe mycoplasma pneumonia is always with serious clinical symptoms, imaging examination of obvious inflammation, common pulmonary and extrapulmonary complications, and good prognosis can be achieved after effective anti-infection, immune support, electronic bronchoscopy and other treatments. |
