88例儿童腺病毒肺炎胸部MSCT影像征象及其临床特征研究

Imaging Features and Clinical Features of Chest MSCT in 88 Children with Adenoviral Pneumonia

目的探讨88例儿童腺病毒肺炎胸部MSCT影像征象及其临床特征。方法回顾分析本院2017年2月至2019年2月收治的腺病毒肺炎儿童患者的临床资料,对88例腺病毒肺炎儿童患者的临床特征进行分析,总结其MSCT影像学表现。结果约98.88%腺病毒肺炎患者出现发热,伴有明显咳喘、肺部湿啰音,61.36%伴有神经系统症状,45.45%伴有消化系统症状,白细胞计数增高、C反应蛋白升高,心肌、肝脏受损比例均高于60%,少数出现凝血功能异常和呼吸衰竭的现象;经血气分析发现大多数患者存在低血氧症;MSCT显示所有患者均可见胸部肺实变,79.54%患者可见双肺受累,肺外主要表现为胸膜增厚和胸腔积液,小气道改变主要为充气不均匀和支气管壁增厚。结论结合临床特征及MSCT的影像学特征表现,可为腺病毒肺炎患者的诊断和鉴别提供有效的依据。

Objective To investigate the imaging features and clinical features of chest MSCT in 88 children with adenoviral pneumonia.Methods The clinical data of children with adenoviral pneumonia admitted to our hospital from February 2017 to February 2019 were analyzed retrospectively.The clinical features of 88 children with adenovirus pneumonia were analyzed,and the MSCT images were summarized.Results About 98.88%of patients with adenovirus pneumonia developed fever with obvious cough and wheezing,lung moist rales,61.36%with nervous system symptoms and 45.45%with digestive system symptoms.Increasing of white blood cell count and C-reactive protein occurred,and the proportion of myocardial and liver damage is higher than 60%,and a few patients may have abnormal coagulation function and respiratory failure.Blood gas analysis showed that most patients also had hypoxemia.MSCT showed lung consolidation in all patients.About 79.54%patients had bilateral lung involvement.The main extrapulmonary manifestations were pleural thickening and pleural effusion.Small airway changes were mainly uneven inflation and bronchial wall thickening.Conclusion Clinical features and imaging features of MSCT can provide an effective basis for the diagnosis and identification of patients with adenovirus pneumonia.