Clinical study of 85 cases of lobar pneumonia in children

Objective To investigate the clinical characters of lobar pneumonia in children for reference of clinical strategy. Methods The clinical datas of 85 lobar pneumonia patients that were diagnosed and treated from July 2003 to July 2009 were analyzed.Results ①The majority of them were school-age children, while young children were not rare; the rate was 64.7% and 35.3% respectively. ②Fever and cough were the main clinical manifestations, mostly for high fever; most of them had cough without sputum firstly, and then sputum occurred. ③The positive rate of sputum culture was 23.08%, 9.43% for blood culture, and 64.56% for MP-IgM in the serum; and white blood cell count was in the normal range in 64.71% patients.Conclusions The pathogen of lobar pneumonia was diverse, and clinical manifestations of lobar pneumonia were not typical. For making early diagnosis, clinical laboratory tests should be strengthened, then we could offer proper treatment.Lobar pneumonia caused by MP infection tendedtoincrease, calling for much more attention. Key words: Lobar pneumonia ;  Children ;  Mycoplasma ;