摘要
目的探讨小儿支原体肺炎是否有特征性X线影像学表现。方法回顾性分析2002年10月-2004年4月期间住院确诊为支原体肺炎87例及非支原体肺炎95例的首次胸部X线表现。结果两组病例均有以下几型X线表现:(A=支原体肺炎,B=非支原体肺炎)。Ⅰ型,表现为肺纹理增多、增粗边缘模糊,局部呈网状改变以双侧肺野为主。A=42例,B=48例。Ⅱ型,沿肺纹理分布的小斑片状影,边缘模糊,A=31例,B=28例。Ⅲ型,呈节段性或大叶性实变为主的阴影A=8例,B=11例。Ⅳ型,合并有肺门增大或胸腔积液。A=6例,B=8。两组X线表现经统计学处理,P均>0.05。结论仅靠胸片不能对支原体肺炎作出明确诊断,需结合临床及实验室检查才能作出明确诊断。
Objective To study the imaging characteristics of mycoplasma pneumonia (MP) in children, with plain chest radiography. Methods Chest radiograph of 87 children with MPP and 95 with no-MPP was retrospectively analyzed. Results The first chest X-rays findings were as follows: (A=MPP, B=no-MPP) TypeⅠ, increased and enhanced hung markings with reticular shadows with ill-defined in A=42, B=48. TypeⅡ, the initial radiography showed small patchy or/and nodular lesions with ill-defined in A=31 ,B=28.Type Ⅲ, showed opacity in unilateral lung or a pulmonary segment in A=8, B=11. Type Ⅳ, with pleurisy or lung hilum shadow was enlargement in A=6,B=8. NO significant difference in chest radiograph was seen between two groups. Conclusion MP can't be diagnozed with radiograplhy. The clinical date and laboratory results is necessary.
出处
《上海医学影像》
2005年第2期147-148,152,共3页
Shanghai Medical Imaging
