儿童闭塞性细支气管炎影像学特点与临床分析  

Analysis Clinical and Imaging Characteristic of Blocking Bronchiolitis in Children

作　　者：张永菊[1] 王鹤[1] 孟秋云[1] 赵玉岐[1] 

机构地区：[1]沧州市中心医院儿内三科,061001

出　　处：《中国继续医学教育》2016年第4期50-52,共3页China Continuing Medical Education

摘　　要：目的通过对儿童闭塞性细支气管炎高分辨CT的特点及临床分析,提高儿科临床医师对儿童闭塞性细支气管炎的再认识。方法选取2012年3月～2015年3月我院共收治的28例闭塞性细支气管炎患儿,所有患儿均予影像学检查,根据检查结果给予规范化的治疗,观察患儿的治疗效果和转归情况。结果 28例闭塞性细支气管炎患儿中,2例是早产儿肺损伤后发生,26例是感染后发生。HRCT检查结果显示,23例为马赛克征,4例支气管壁增厚,1例局部性肺不张和过度充气。所有患儿均有不同程度的阻塞性通气功能障碍。治疗后26例好转出院,2例留院观察。结论临床表现和影像学分析是诊治儿童闭塞性细支气管炎的重要指标。Objective Through the occlusive bronchiolitis in children of high resolution CT features and clinical analysis, improve the pediatric clinicians re-recognition of occlusive bronchiolitis in children. Methods Selected 28 cases obliterans in children from March 2012 to March 2015 in our hospital, which were treated bronchiolitis patients and medical staff give images in all patients with examination, according to the results of the examination were given effective treatment measures observed patient outcomes and outcome. Results 28 patients with occlusive in children with bronchiolitis, and there were 2 cases happened after premature lung injury,26 cases occurred after the infection. HRCT findings showed, 23 cases for Mosaic）, 4 cases of children with bronchial wall thickening, 1 case with localized pulmonary zhang and excessive. All children have different degrees of obstructive ventilation dysfunction. There were 26 patients were improved after treatment, the hospital in 2 patients. Conclusion Clinical manifestation and imaging analysis is an important index for the diagnosis and treatment of bronchiolitis in children.

关 键 词：儿童闭塞性细支气管炎 影像学特点 临床 

分 类 号：R445[医药卫生—影像医学与核医学]