危重型重症手足口病神经源性肺水肿的X线诊断(附6例分析)

The X-ray diagnosis of NPE as a complication of severe HFMD(an analysis of 6 cases)

目的:探讨危重型重症手足口病(HFMD)神经源性肺水肿(NPE)的X线诊断价值。方法:回顾性分析6例危重型重症手足口病并发神经源性肺水肿患儿胸部X线及临床资料。结果:6例患儿病情加重前两肺无异常改变,病情急剧加重后,胸部正位片显示两肺纹理增多,两肺广泛斑片状、磨玻璃状阴影,两肺病变呈非对称分布,其中5例右侧较显著、1例左侧较显著,病变发展迅速、变化快,1例5 h复查右侧胸腔出现积液。结论:危重型重症手足口病并发神经源性肺水肿X线表现具有特征性,结合临床资料可明确诊断。

Objective：To investigate the X-ray diagnosis of NPE complicated by severe HFMD.Methods：The chest X-ray images and clinical data of 6 children suffering from severe HFMD complicated by NPE were retrospectively analyzed.Results：There was no abnormal change in the lung tissues of 6 children before their conditions worsened.After conditions worsened,anteroposterior（AP） chest film showed increased lung markings,extensive patchy and ground-glass opacity in bilateral lung fields.Lesions in bilateral lung fields were asymmetric.Among the 6 cases,5 were more significant in the right lung field and 1 was more significant in the left lung field.Lesions developed rapidly and changed fast.Reexamination showed that pleural effusion on the right side occurred in 1 case after 5 hours.Conclusion：The X-ray features of NPE accompanying severe HFMD has certain characteristics.Accurate diagnosis can be achieved with the help of X-ray film and clinical materials.