小儿麻疹合并肺炎的临床及胸部X线分析  

Chest X-ray Analysis of Measles Associated with Pneumonia in Children

作　　者：廖承德[1] 张林[1] 刘晓梅[2] 张渝华[1] 李红丽[1] 

机构地区：[1]昆明市儿童医院放射科,云南昆明650032 [2]昆明市儿童医院感染科,云南昆明650032

出　　处：《实用放射学杂志》2007年第11期1526-1528,共3页Journal of Practical Radiology

摘　　要：目的分析小儿麻疹合并肺炎的X线征象,提高诊断水平。方法回顾性分析我院2005-01—2006-08收治的小儿麻疹310例,其中合并肺炎280例,分析胸部X线片并进行分类。结果麻疹合并肺炎以肺纹理增多、模糊最多,见于所有病例;肺透亮度增高及肺气肿样改变206例(占73.6%);肺内点片状模糊阴影91例(占32.5%);肺门影增大、增浓115例(占41.1%);肺间质改变98例(占35%);重症肺炎及急性呼吸窘迫综合征4例(占1.4%)。结论结合临床分析小儿麻疹合并肺炎的胸部X线表现,对于小儿麻疹合并肺炎的诊断和鉴别诊断有重要价值。Objective To study the findings of measles associated with pneumonia and to improve the diagnostic level of this disease. Methods The chest X - ray of 280 cases with pneumonia among 310 children with measles from January 2005 to August 2006 were collected and analyzed retrospectively. Results The most common findings of chest X - ray examinations included blurred and increased lung markings（ in all cases） ,pulmonary air- sacs luminance increase and emphysema -like change in 206 cases（ 73.6% ） , spotted shadows and patches in the bilateral middle and lower field in 91 cases（ 32.5% ） ,enlarged and blurred pulmonary hila in 115 cases（41.1% ） ,interstitial appearance in 98 cases（ 35% ） ,serious pneumonia and ARDS in 4 cases（ 1.4% ）. Conclusion It is valuable in the diagnosis and differential diagnosis of measles accompanying pneumonia in children to analyze the chest X - ray combining with clinical situation.

关 键 词：胸部 麻疹 肺炎 放射摄影术 

分 类 号：R511.1[医药卫生—内科学] R563.1[医药卫生—临床医学]