小儿支原体肺炎X线诊断与体会

X - ray Diagnosis and Experience of Mycoplasma Pneumonia in Children

目的探讨小儿支原体肺炎X线影像表现、诊断要点,总结其诊断体会。方法对我科2009年1月—2012年3月46例经临床及实验室检查确诊的支原体肺炎小儿X线影像及临床资料进行回顾性分析。结果本组患儿中,0～3岁者占15.2%,4～7岁者占67.4%,8岁以上者占17.4%。患儿均有不同程度的发热,病灶以两下肺间质性炎性改变或(和)伴有同侧肺门影增大为主,肺实质性炎性浸润与患儿的病程长短、治疗措施有关。可有斑点状、小片状、大片状云絮状密度增高影,边缘模糊。结论小儿支原体肺炎X线影像多不典型,甚至仅表现为两下肺纹理增多、增粗,诊断时应认真辨别其X线征象,密切结合临床及实验室检查结果。

Objective To investigate the imaging performance of X-ray of mycoplasma pneumonia in children,the diagnosis,the diagnosis experience.Methods Retrospective analysis of our department in January 2009 to March 2012 46 cases were confirmed by clinical and laboratory examination of mycoplasma pneumonia in children of X-ray imaging and clinical data.Results This group of children,0 ～ 3 years old accounted for 15.2%,4 ～ 7 years accounted for 67.4%,8 years old accounted for 17.4%.The children have different degrees of fever,lesions in two pulmonary interstitial inflammation or（and） associated with ipsilateral hilar enlargement,pulmonary parenchymal inflammatory infiltration and children＇s duration,treatment measures.There can be spotted,flaky,patchy cloudy shadows of high density,edge blur.Conclusion X-ray of mycoplasma pneumonia in children is not the typical image,or even just for two increased lung markings,thickening,diagnosis should be carefully identify the X-ray findings,combined with clinical and laboratory test results.