小儿支原体肺炎116例X线分析

X-ray findings analysis of mycoplasmal pneumonia in children(116 cases)

目的:探讨小儿支原体肺炎的X线表现,提高对本病的认识和诊断水平。方法:搜集我院经临床和实验室检查证实为小儿支原体肺炎的116例X线胸部资料进行分析。结果:①间质浸润51例,表现为肺纹理增厚、增多、模糊或呈网点状阴影。②节段或大叶型实质浸润42例。③小斑片或扇形浸润型23例,病变自肺门向肺野外呈扇形分布,并发肺门淋巴结肿大7例。结论:小儿支原体肺炎X线呈多样性表现,易与小叶性肺炎、大叶性肺炎和病毒性肺炎相混淆,认真分析X线征象,结合临床及实验室检查,能够作出准确诊断。

Objective：To analyze X-ray appearance of child mycoplasmal pneumonia. Methods.. One hundred and sixteen children with mycoplasmal pneumonia who were confirmed by clinical and laboratory examinations were included in the investigation, their X-ray chest data were retrospectively analyzed. Results：Chest X-ray abnormality was as bellows： （1）Interstitial infiltration in 51 cases, the appearance was lung marking thicken, heavy,obscure and net or spot shadows; （2）Segment or big leaf type infiltration in 42 cases; （3）Small spot or fan-shaped infiltration 23 cases, the fan shaped lesion emanated from the lung hilar to lung field. The lung hila lymph node enlargement in 7 cases. Conclusion：Child mycoplasmal pneumonia showed varied X-ray appearance,it is easy to confuse virus with germ pneumonia mutually. It is very important to combine clinical and the laboratory results for the earlier period diagnosis.