手足口病的临床及胸部X线分析  

Analysis of Clinical and Chest Radiographic Manifestations of Hand-Foot-Mouth Disease

作　　者：母华国[1] 陈平有[1] 桑玲[1] 武谦[1] 张海波[1] 

机构地区：[1]十堰市太和医院放射科,湖北442000

出　　处：《放射学实践》2009年第7期781-783,共3页Radiologic Practice

摘　　要：目的:探讨手足口病(HFMD)的临床及胸部X线表现。方法:搜集经临床确诊为HFMD的38例患儿的病例资料,对其临床、X线资料进行回顾性分析。结果:HFMD的临床主要特点是持续发热,口腔、手足部掌面及肛周多发性疱疹。胸部X线表现为肺纹理增强5例(13.2%),支气管肺炎或肺炎28例(73.7%),肺水肿2例(5.3%),无明显异常3例(7.9%)。肺部病变出现早,变化快,发病后2～4d达到高峰,多数在1周左右吸收消散。肺部改变与临床表现基本一致。结论:HFMD的胸部X线表现可反映其病情变化,对了解病情、指导治疗及预后判断具有重要意义。Objective： To investigate the clinical and chest radiographic manifestations of hand-foot-mouth disease （HFMD）. Methods：The clinical and chest radiographic findings of 38 pediatric patients with HFMD were retrospectively analyzed. Results： The main clinical symptoms were fever and multiple herpes in mouth,palm, sole and peri-anus area. Chest X-ray manifestations included increase d broncho-vascular shadows of lung in 5/38 patients （13.2%） ;broncho-pneumonia or pneumonia in 28/38 patients （73.7%） ;pulmonary edema in 2/38 patients （5.3%） ;normal chest radiography in 3/38 patients （7.9 %）. The characteristic X-ray manifestations of pulmonary abnormalities were early appearance and fast change, the peak of abnormalities appeared at 2 - 4 days after the onset of sickness, most were completely absorbed within one week. The change of pulmonary lesions was basically in accord with clinical symptoms. Conclusion：The chest X-ray manifestations of HFMD not only could be used to reveal the dynamic changes but were also helpful in the understanding of the course,guiding treatment as well as predicting the prognosis of the disease.

关 键 词：放射摄影术 手足口病 肺疾病 

分 类 号：R725.1[医药卫生—儿科] R816.92[医药卫生—临床医学]