儿童肺源性急性呼吸窘迫综合征胸部X线表现  

Radiographic Findings of Chest in Acute Respiratory Distress Syndrome of Children

作　　者：李素荣[1] 袁新宇[1] 甘晓庄[1] 宋国维[1] 喻文亮[2] 孙波[2] 

机构地区：[1]首都儿科研究所附属儿童医院放射科,北京100020 [2]复旦大学附属儿科医院放射科,上海200032

出　　处：《放射学实践》2007年第7期755-757,共3页Radiologic Practice

基　　金：上海市教委曙光跟踪计划(02GZ02);美国中华医学基金会资助项目(03-786)

摘　　要：目的:分析儿童肺源性急性呼吸窘迫综合征(ARDS)的早期胸部X线表现。方法:回顾性分析54例儿童肺源性ARDS床旁胸片表现,对非白血病组(37例)与白血病组(13例)肺部病变表现的差异进行了比较。结果:本组病例中,病因为肺炎者50例(92.6%),其它病因者4例(7.4%);胸片表现为实变型、白肺型和磨玻璃型分别为33例(61.1%),17例(31.5%)和4例(7.4%),合并征象包括肺过度充气13例、肺不张3例、纵隔积气3例和气胸1例。非白血病组中实变型占70.3%,白血病组中白肺型占53.8%,两者的病变类型差异有显著性意义(χ2=10.72,P=0.005)。结论:儿童肺源性ARDS的主要病因为肺炎,胸片以肺部实变(非白血病)和白肺(白血病)为主要表现。Objective： To analysis the radiographic findings in Acute Respiratory Distress Syndrome due to pulmonary diseases （ARDSp） in children. Methods： Fifty four patients with ARDSp were included in the study,with 31 males and 23 females,age ranged from 29 days to 14 years old （mean age,4.1 years）. All patients underwent bedside chest radiography. The X-ray manifestations of non-leukemia patients （n= 37） and leukemia patients （n= 13） were retrospectively analyzed. Results： In this series, the etiology of pulmonary disorder was pneumonia in fifty patients （92. 6 %）, the remain 4 patients had otherwise non-pneumonia pulmonary disorder. The primary radiographic findings included pulmonary consolidation （33 cases, 61.1% ）, white lung （ 17 cases, 31.5 % ） and ground glass opacification （ 4 cases, 7.4 % ）. The complicated manifestations included over-inflation of lung （13 cases）, atelectasis （3 cases）, pneumomediastinum （3 cases） and pneumothorax （ 1 case）. Of the Thirty-seven non-leukemic patients, consolidation accounted for 70. 3%;of the thirteen leukemic patients, white lung accounted for 53.8 %. The pathology of these two groups showed significant statistic difference （X^2 = 10.72, P= 0. 005）. Conclusion：The primary etiology of lung disorders in ARDSp in children was pneumonia. The major radiographic features were consolidation in non-leukemic patients and white lung in leukemic patients.

关 键 词：放射摄影术 急性呼吸窘迫综合征 儿童 

分 类 号：R816.92[医药卫生—放射医学]