作者：朱祥

单位：

215028 江苏省苏州市，上海交通大学医学院苏州九龙医院呼吸内科

Units：

Department of Respiratory Medicine，Suzhou Kowloon Hospital of Medical College，Shanghai Jiaotong University，Suzhou215028，China

关键词：

支原体感染；肺炎支原体；诊断；治疗；综述

Keywords：

Mycoplasma infections；Mycoplasma pneumoniae；Diagnosis；Therapy；Review

CLC：

R 518.9

DOI：

DOI：10.3969/j.issn.1008-5971.2020.01.y05

Funds：

摘要：

肺炎支原体是临床常见的呼吸道传染性疾病病原体之一，但肺炎支原体感染患者的临床表现、影像学表现缺乏特异性，除肺部表现外还可因累及神经系统、心血管系统、消化系统、泌尿系统、血液系统等而出现肺外表现，易造成误诊误治。本文主要综述了肺炎支原体感染的流行病学、致病机制、临床表现、影像学表现、诊断及治疗，以期提高临床对肺炎支原体感染的认识及诊治水平。

Abstract：

Mycoplasma pneumoniae is one of common pathogens of respiratory infectious diseases on clinic，however there was no specific clinical manifestations or imaging findings of Mycoplasma pneumoniae infection. Extrapulmonarymanifestations caused by involvement of nervous system，cardiovascular system，digestive system，urinary system，bloodsystem and so on may be performed beside pulmonary manifestations in patients with Mycoplasma pneumoniae infection，whichis easy to be misdiagnosed and mistreated.This paper mainly reviewed the epidemiology，pathogenic mechanism，clinicalmanifestations，imaging findings，diagnosis and treatment of Mycoplasma pneumoniae infection，in order to improve the clinicalunderstanding，diagnostic and therapeutic level.

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