闭塞性细支气管炎患儿的临床特点和肺部CT特征分析  

Analysis of clinical characteristics and pulmonary CT characteristics in children with obliterans bronchiolitis

作　　者：唐辉英[1] 宋萍[1] 付丹[1] TANG Hui-ying;SONG Ping;FU Dan(Department of Respiratory,Shenzhen Children＇s Hospital,Guangdong Province,Shenzhen 518026,China)

机构地区：[1]深圳市儿童医院呼吸科,广东深圳518026

出　　处：《中国当代医药》2018年第20期69-71,78,共4页China Modern Medicine

基　　金：广东省深圳市科技计划(医疗卫生类)项目(201203040)

摘　　要：目的探讨闭塞性细支气管炎患儿的临床特点和肺部CT特征。方法择取2015年1月~2017年12月在我院接受治疗的闭塞性细支气管炎患儿35例,收集其临床资料并对其予以CT检查,观察肺部CT的特征,总结其临床特点。结果 35例患儿中有20.00%(7/35)因早产肺损伤而发病,80.00%(28/35)因细菌、病毒感染发病。类型包括铜绿假单胞菌2例、麻疹病毒4例、支原体感染4例、EB病毒1例及巨细胞病毒6例等,另有11例患儿感染原因不明。35例患儿中有31例(88.57%)支气管壁增厚,11例(31.43%)存在肺不张或实变,24例(68.57%)存在斑片状或点状高密度影,8例(22.86%)存在支气管黏液栓,9例(25.71%)支气管扩张,35例(100.00%)存在马赛克灌注征。结论了解闭塞性细支气管炎患儿的临床特点,并积极开展CT检查有重要意义,可提高诊断的准确性,并改善预后评价,应当在诊疗过程中对患儿予以肺部CT检查。Objective To investigate the clinical characteristics and pulmonary CT characteristics in children with obliterans bronchiolitis. Methods A total of 35 children with obliterans bronchiolitis treated in our hospital from January 2015 to December 2017 were selected. The clinical characteristics and pulmonary CT characteristics were analyzed. Results Of the 35 cases, 20.00%（7/35） was caused by premature lung injury, and 80.00%（28/35） was caused by Bacterial, virus infection. The types included 2 cases of Pseudomonas aeruginosa, 4 cases of measles virus, 4 cases of mycoplasma infection, 1 cases of EB virus and 6 cases of cytomegalo virus. In another 11 cases, the cause of infection was unknown. 31 cases（88.57%） of bronchial wall thickening, 11 cases（31.43%） of atelectasis or consolidation, 24 cases（68.57%） of patchy or high point density, 8 cases（22.86%） of bronchial mucus plug（25.71%）, 9 cases of bronchiectasis, 35 cases（100.00%） of mosaic perfusion syndrome. Conclusion It is of great significance to understand the clinical characteristics of children with obliterative bronchiolitis and actively carry out CT examination, which can improve the accuracy of diagnosis and improve the prognosis. In the process of diagnosis and treatment, the CT examination of the lung should be given to the children.

关 键 词：闭塞性细支气管炎 临床特点 肺部CT 

分 类 号：R725.6[医药卫生—儿科]