Clinical Analysis of One Child with Mycoplasma Pneumoniae Pneumonia Complicated with Pulmonary Embolism

Sun Na; Xu Yongsheng

doi:10.13407/j.cnki.jpp.1672-108X.2020.06.008

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Clinical Analysis of One Child with Mycoplasma Pneumoniae Pneumonia Complicated with Pulmonary Embolism

更新时间：2022-11-03

- Clinical Analysis of One Child with Mycoplasma Pneumoniae Pneumonia Complicated with Pulmonary Embolism
- Vol. 26, Issue 6, Pages: 24-26(2020)
- 作者机构：
  
  天津市儿童医院,天津,300134
- 作者简介：
- 基金信息：
- DOI：10.13407/j.cnki.jpp.1672-108X.2020.06.008
  CLC：
- Published：2020，
  
  Published Online：10 June 2020，
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Sun Na, Xu Yongsheng. Clinical Analysis of One Child with Mycoplasma Pneumoniae Pneumonia Complicated with Pulmonary Embolism. [J]. 26(6):24-26(2020)
DOI：

Sun Na, Xu Yongsheng. Clinical Analysis of One Child with Mycoplasma Pneumoniae Pneumonia Complicated with Pulmonary Embolism. [J]. 26(6):24-26(2020) DOI： 10.13407/j.cnki.jpp.1672-108X.2020.06.008.

摘要

目的：探讨肺炎支原体肺炎合并肺栓塞的临床表现、诊断和治疗要点。方法：回顾性分析1例肺炎支原体肺炎合并肺栓塞患儿的临床特征及诊疗经过。结果：患儿在抗感染治疗过程中出现了胸痛、咯血的症状，D-二聚体>20 mg/L，经检查明确存在肺栓塞，经抗感染、激素抑制炎性反应，低分子肝素钙、阿司匹林抗凝等治疗，患儿症状明显好转，复查D-二聚体降至1.1 mg/L。随访复查胸CTA未见肺栓塞征象，肺内病变吸收。结论：肺炎支原体肺炎患儿在治疗过程中，如出现胸痛、咯血、D-二聚体升高，需注意肺栓塞的发生，早期诊断、积极抗凝治疗是诊治的关键。

Abstract

Objective: To probe into the clinical manifestations

diagnosis and treatment of Mycoplasma pneumoniae pneumonia complicated with pulmonary embolism. Methods: Retrospective analysis was conducted on clinical characteristics and diagnosis and treatment of one child with Mycoplasma pneumoniae pneumonia complicated with pulmonary embolism. Results: During the anti-infection treatment

the child developed chest pain and hemoptysis. D-dimer was >20 mg/L. After examination

it was confirmed that there was pulmonary embolism

and after treatment with anti-infection

hormone suppression of inflammatory response

low molecular weight heparin calcium and aspirin anticoagulation

the symptoms of the child were improved significantly. And D-dimer decreased to 1.1 mg/L. Follow-up review of chest CTA showed no signs of pulmonary embolism

and pulmonary lesions were absorbed. Conclusion: Pulmonary embolism may accompanied by chest pain

hemoptysis and D-dimer elevation in children with Mycoplasma pneumoniae pneumonia during treatment. Early diagnosis and actively anticoagulation treatment is the key to obtain better prognosis.

关键词

肺炎支原体肺炎肺栓塞儿童

Keywords

Mycoplasma pneumoniae pneumoniapulmonary embolismchildren

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