小儿支原体肺炎的X线诊断

The X-ray Diagnosis of Mycoplasma Pneumonia

目的提高儿童支原体肺炎的诊断水平。方法对我院儿科收治住院的支原体性肺炎106例进行回顾性分析。结果根据X线检查分析,患儿肺部X线表现有小片状及大片状阴影,肺纹理增多增生呈网状及小结节状,肺门阴影增大,纵隔阴影增宽,胸膜反应及胸腔积液。其中Ⅰ型82例(77.4%);Ⅱ型16例(15.1%);Ⅲ型7例(6.6%);Ⅳ型1例(0.9%)。典型表现为:肺纹理增多、模糊、紊乱,肺门影增大,肺门模糊,呈斑点状、碎片状阴影及磨砂玻璃状阴影。其中,胸膜反应12例(11.3%);肺门淋巴结肿大16例(15.1%)。结论支原体肺炎诊断需认真分析X线征象,密切结合临床及实验室检查。

Objective To improve the diagnosis of mycoplasma pneumonia in children. Methods Collected in our hospital were treated in hospital pediatric mycoplasma pneumonia diagnosed 106 cases were analyzed retrospectively. Results According to X - ray analysis, X - ray findings in children with pulmonary small segment, and large patchy shadows, markings increased proliferation of reticular and small nodular shadow increased hilar and mediastinal shadow widened, pleural reaction, and pleural effusion. Type Ⅰ , 82 cases （77. 4% ） ; Ⅱ type in 16 cases （ 15. 1% ） ; Ⅲ type in 7 cases （6.6%） ; Ⅳ type 1 cases （0. 9% ）. Typical performance is： increased lung markings, fuzzy, disorder, increased hilar shadow, hilar vague in spots, debris - like shadow and frosted glass - like shadow. Among them, 12 cases of pleural reaction （ 11.3% ） ; hilar lymph- adenopathy in 16 cases （ 15.1% ）. Conclusion According to chest X - ray findings, diagnosis must be careful analysis of X - ray findings, with clinical and laboratory tests.