小儿肺炎支原体感染胸部CT表现的研究  

Performance research of chest CT of children with mycoplasma pneumonia

作　　者：计明红[1] 潘家华[1] 

机构地区：[1]安徽合肥安徽省立医院儿科,230001

出　　处：《临床肺科杂志》2013年第6期982-983,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的了解儿童肺炎支原体感染胸部CT表现。方法分析我科确诊支原体肺炎的49例住院患儿肺CT病灶的分布与形态。结果儿童肺炎支原体感染胸部CT特点:病变位单侧27例,双侧22例。左上叶17例,左下叶24例,右上叶18例,右中叶11例,右下叶27例,节段性病变9例。病灶呈大斑片状影43例,肺门影增浓19例,肺纹理增多18例,斑点状影17例,条索状影13例,磨玻璃样影10例,肺实变12例,肺不张6例,支气管充气征9例,肺门、纵膈淋巴结肿大4例,胸腔积液11例,空洞2例。结论肺CT对儿童支原体肺炎诊治有一定意义。Objective To explore the chest CT manifestation of children with myeoplasma pneumoniae pneumonia （ MPP ）. Methods The distribution and appearance of CT nidus of 49 children with MPP was retrospectively analyzed. Results The CT features of MPP children included 27 cases of unilateral abnormalities, 22 cases of bilateral abnormalities, 17 cases of abnormalities in left upper lobes, 24 cases of abnormalities in left lower lobes, 18 cases of abnormalities in right upper lobes, 11 caaes of abnormalities in right middle upper lobes, 27cases of abnormalities in right lower lobes, and 9 cases of segmental abnormalities. The appearance of nidus included 43 cases of large patchy shadow, 19 cases of thickened hilar shadow, 18 cases of lung marking increase, 17 cases of mottling consolidation, 13 cases of funicular shadow, 10 cases of ground-glass opacity, 12 cases of pulmonary consolidation, 6 cases of pulmonary atclcctasis, 9 cases of air bronchogram, 4 cases of hilus pulmonis or mediastinum lymph nodes enlargement, 11 cases of pleural effusion, and 2 cases of cavity. Conclusion The features of chest CT image have certain implications for the diagnosis and treatment of children with MPP.

关 键 词：儿童 肺炎 支原体 胸部CT 

分 类 号：R725.6[医药卫生—儿科]