儿童支原体肺炎X线检查的诊断价值

Diagnostic value of X-ray examination in children with mycoplasma pneumonia

目的:探讨X线检查对儿童支原体肺炎的诊断价值。方法:对48例儿童支原体肺炎患儿行胸部正侧位片检查。结果:48例患儿中属于间质浸润型33例,腺泡实变型12例,混合型3例;病变位于右肺30例,左肺18例;一侧肺叶病变43例,双肺同时受累5例;病变部位右侧明显高于左侧,差异具有统计学意义(P<0.05)。结论:支原体肺炎X线表现具有多样性,结合患儿临床呼吸道症状重、肺部体征轻微的特点行胸部X线摄片检查,在早期诊断中仍有较高的应用价值。

Objective:To investigate the diagnostic value of X-ray examination in children with mycoplasma pneumonia.Methods:48 children with mycoplasma pneumonia were examined normotopia and lateral position chest radiography.Results:Among all of those 48 cases,there were 33 cases belong to interstitial infiltration type pneumonia;12 cases were acinar consolidation,3 cases were mixed type.30 cases of lesions were located in the right lung,and 18 cases in the left lung.There were 43 cases with side lobe lesions,and 5 cases with double lung involvement.Lesion in the right side was significantly higher than that in the left,and the difference was statistically significant(P<0.05).Conclusion:Mycoplasma pneumonia has variety X-ray manifestations,and chest X-ray radiography examination combined its characteristics with severe clinical respiratory symptoms and slight pulmonary signs still has greater value in the early diagnosis.