儿童重症手足口病胸部X线及CT表现特点分析  

Chest X-ray and CT Manifestations of Children with Severe Hand-foot-mouth Disease

作　　者：张义堂[1] 王中晓[2] 杨红[1] 张伟东[1] 吕亚洲[1] 刘平[1] ZHANG Yi-tang;WANG Zhong-xiao;YANG Hong(Department of PICU,the Affiliated Hospital of Zhengzhou University,the Central Hospital of Nanyang City,Nanyang 473000,Henan Province,China)

机构地区：[1]郑州大学附属医院/南阳市中心医院PICU,河南南阳473000 [2]河南省南阳医学高等专科学校护理系,河南南阳473000

出　　处：《中国CT和MRI杂志》2018年第4期58-59,86,共3页Chinese Journal of CT and MRI

摘　　要：目的分析儿童重症手足口病(Hand-foot-mouth Disease)胸部X线及CT表现特点。方法收集2015年6月-2017年1月我院47例重症HFMD患儿临床资料,全部患儿均行胸片X线检查,15例另行胸部CT平扫。结果 47例患儿胸部影像学表现不一,形式如下:6例属于支气管炎型,肺间质受累;8例属于局限型,局限于单个肺叶或肺断;19例属于混合型,病灶累及至多个肺叶,甚至整侧肺受累;11例属于广泛型,双肺多个肺叶受累;3例属于肺水肿型,双肺呈对称片状阴影,密度由内至外渐淡。随着重症HFMD患儿病情变化,其胸部X线亦随之变化,部分患儿可见反复。结论重症HFMD患儿胸部X线及CT具有多种表现形式,以片絮状阴影为主,并伴有肺部其他表现,且随病情呈动态变化,有一定特征。Objective To analyze the manifestations of chest X-ray and CT in children with severe hand-foot-mouth disease(HFMD).Methods The clinical data of 47 cases of children with severe HFMD in our hospital from June 2015 to January 2017 were collected.All children were given the chest X-ray examination,and 15 cases were given the chest CT plain scan.Results There were different manifestations of chest imaging in 47 cases of children.The form was as follows:there were 6 cases with the type of lung interstitial involvement bronchitis,8 cases of localized type confined to a single lobe or lung,19 cases with mixed type lesions involving multiple lobes or even the whole side lung,11 cases with the extensive type involving a double multiple lung lobes and 3 cases with the pulmonary edema type with pulmonary double symmetrical patchy shadows and gradually faded density from the inside to the outside.With the change of the condition of severe HFMD children,the chest X-ray changed,and the recurrence could be seen in some children.Conclusion Chest X-ray and CT have many manifestations in severe HFMD children,mainly with flocculent shadow and accompanied by other manifestations of lung,and they show dynamic changes and certain features with the disease.

关 键 词：重症手足口病 儿童 胸部X线 CT 表现特点 

分 类 号：R725.1[医药卫生—儿科] R445.3[医药卫生—临床医学]