儿童重症腺病毒肺炎临床影像表现分析  

Analysis of Imaging and Clinical Findings of Severe Adenoviral Pneumonia in Children

作　　者：张蕴[1] 付和睦[1] 杜红文[1] 刘小红[2] 

机构地区：[1]西安交通大学医学院第一附属医院医学影像科,陕西西安710061 [2]西安交通大学医学院第一附属医院小儿科,陕西西安710061

出　　处：《实用放射学杂志》2009年第12期1804-1806,共3页Journal of Practical Radiology

摘　　要：目的探讨儿童重症腺病毒肺炎的影像与临床表现。方法回顾性分析3例儿童重症腺病毒肺炎的临床与影像学表现。3例均进行了胸部x线及CT检查。结果x线和CT显示左肺下叶、左肺上叶尖后段亚段实变各1例，其内均见支气管气像，伴体积缩小1例。两肺间质性改变1例。伴胸腔少量积液1例，心影增大3例。3例均咳嗽、发热（T38.4℃－40.3℃），听诊：呼吸音均减低，均可闻及小水泡音。实验室检查：谷草转氨酶、乳酸脱氢酶、羟丁酸脱氢酶、肌酸激酶均升高，血腺病毒检查均阳性。结论儿童肺炎如表现为两肺单一或多发节段性实变影，伴肝脏、心肌损害表现，应高度怀疑为儿童重症腺病毒肺炎。Objective To investigate imaging and clinical findings of severe adenoviral pneumonia in children. Methods The imaging and clinical findings of severe adenoviral pneumonia in three children were retrospectively analyzed. All cases underwent radio-graphy and CT examinations of chest. Results Two patiens showed fairly homogeneous opacity with air bronchograms in segmental or lobar distribution in left lung,in company with volume decreased in one case. There was interstitial change in 1 case,pleural effusion in one case and heart shadow enlarged in 3 cases. All of patients had cough and fever （range,38.4℃-40.3℃）. Physical exami- nations showed decreased breathing sound and crackles in all cases. Laboratory findings included abnormally elevated aspartate aminotransferase,lactic dehydrogenase, hydroxybutyric dehydrogenase and creatine kinase and positive adenovirus examination in all cases. Conclusion Lobar pneumonia in company with liver and heart dysfunction should be suspected as the severe adenoviral pneumonia in children.

关 键 词：肺 腺病毒肺炎 儿童 X线摄影 体层摄影术 X线计算机 

分 类 号：R563.1[医药卫生—呼吸系统] R814.41[医药卫生—内科学]