难治性肺炎支原体肺炎的诊断及治疗进展

摘要

难治性肺炎支原体肺炎一般是指肺炎支原体肺炎经大环内酯类抗生素治疗1周以上,病情未见好转,甚至继续加重者.临床表现为持续高热不退、咳嗽且合并多系统损害.发病机制考虑与对大环内酯类抗生素耐药、免疫功能紊乱及合并其他病原体感染等多因素有关;大环内酯类抗生素联合糖皮质激素及纤维支气管镜肺泡灌洗是主要的治疗方法.%Refractory mycoplasma pneumoniae pneumonia refers that the patient with mycoplasma pneumoniae pneumonia get even worse alter being treated by mariolide antibiotics more than one week. The clinical manifestations of the disease are continuous high fever,rough and multiple system damage. Pathogenesis is related with many factors, such as the drug resistance to maciolide antibiotics, immune disorders and combination with other pathogens infection. The main treatment is maciolide antibiotics, glucocoiticoids and the operation of broncho alveolar lavages by flexible bionchoseope.