【摘 要】 目的 分析成人肺炎支原体肺炎的临床特点，探讨治疗策略。 方法 综合分析173例成人肺炎支原体肺炎的临床资料。 结果 80.9%病人年龄<40岁，男∶女为0.89∶1;96.5%病人有发热，其中高热(T>39℃)占42.8%;85.0%病人有咳嗽，49.1%病人有咳痰，仅69.4%病人肺内可闻及干、湿性口罗音;肺外并发症总发生率18.6%，未发现严重肺外并发症;胸部影像学表现示81.5%病人有肺内病变，其中54.3%为斑片状影;予以大环内酯类抗生素治疗，全部治愈。 结论 成人肺炎支原体肺炎主要见于青壮年，老年病人较少，无性别差异;临床症状重于肺部体征，有影像-体征分离现象，且严重并发症及重症病人少;大环内酯类抗生素疗效明显。

    【关键词】 成人;肺炎支原体肺炎;临床分析

    Clinical Analysis of173Patients with Adult Mycoplasmal Pneumonia ZENG Zhiping，LIUWeiyou.Department of Respiratory，the FirstAffili-ated Hospital of Gannan Medical College，Jiangxi 341000，China

    【Abstract】 Objective To analyze the clinical characteristics of adult Mycoplasmal pneumonia and investigate its method of theraphy.Methods The clinical data of173patients with adult Mycoplasmal pneumonia were analyzed comprehensively.Results 80.9%of the patients were less than40years old，and the ratio of male patients to female was0.89∶1.96.5%of the patients had fever，and42.8%of which had high fever(T>39℃).85.0%and49.1%of the patients had cough and expectoration respectively.69.4%of the patients had rhonchi and.or rales in the lung and18.6%of the patients had extra-pulmonary complications ......