手足口病肺部并发症的X线表现  

X-ray findings of the pulmonary complications of hand-foot-mouth disease

作　　者：桑玲[1] 武谦[1] 张海波[1] 徐霖[1] 

机构地区：[1]湖北省郧阳医学院附属太和医院放射科,湖北十堰442000

出　　处：《医学影像学杂志》2009年第11期1398-1401,共4页Journal of Medical Imaging

摘　　要：目的：探讨手足口病（HFMD）肺部并发症的X线表现,以期提高对HFMD的认识。方法：搜集我院2008年5月~2009年3月住院确诊为HFMD的患儿46例,对其临床及X线资料进行回顾性总结分析。结果：HFMD临床主要特征是持续发热,口腔、手足掌面及肛周多发性疱疹。胸部X线表现：肺纹理增强7例（15.2%）,支气管肺炎或肺炎30例（65.2%）,肺水肿4例（8.7%）,正常5例（10.9%）。肺部病变的特点是出现早,变化迅速,发病后2~4天达到高峰,绝大多数患儿肺部病变在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线表现可以反映病情变化,对指导临床治疗及判断预后具有重要参考价值。Objective： To investigate the chest X-ray manifestations of the pulmonary complications of hand-foot-mouth disease （HFMD） in children in order to enhance awareness of the HFMD.Methods： The clinical data and X-ray findings of 46 HFMD cases col- lected in our hospital from May 2008 to March 2009 were retrospectively analyzed. Results： The main clinical features of I-IFMD were sus- tained fever and multiple herpes in mouth, hand palm,feet sole and crissum. Chest X-ray manifestations included pulmonary veins boosting up in 7 eases （ 15.2% ）, bronchonpneumonia or pneumonia in 30 eases （65.2%）, pulmonary edema in 4 cases （8.7%）, normality in 5 cases （10.9%）. The characteristic of the lesions of lung was early appearance and rapidly changed, the rush hour was 2 - 4 days after sickness, and the vast majority of children with pulmonary lesions were completely absorbed in one week or so. The change of lesions of lung was in accordance with clinical symptom basically. Conclusion：The chest X-ray findings of HFMD may not only be used to reflect disease dynamic changes but also guide clinical treatment and estimate prognosis, which is of important reference value.

关 键 词：手足口病 放射摄影技术 胸部 

分 类 号：R725.1[医药卫生—儿科] R814.4[医药卫生—临床医学]