儿童闭塞性细支气管炎的临床特征及CT影像表现分析  

Clinical Features and CT Imaging of Bronchiolitis Obliterans in Children

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3期39-41,共3页Chinese Journal of CT and MRI

摘　　要：目的探讨儿童闭塞性细支气管炎的临床特征及CT影像表现。方法回顾分析我院儿科60例闭塞性细支气管炎患儿临床资料,所有患儿均接受肺部CT检查,分析患儿临床表现及CT图像特征。结果临床症状:持续性咳嗽、气促,伴呼吸困难者32例(53.3%),伴间断发热者39例(65.0%),伴活动后气促者28例(46.7%);体征检查:肺部均可闻及干湿啰音者37例(80.4%);可闻及喘鸣音者44例(73.3%),合并三凹征者28例(46.7%);肺部CT检查显示存在马赛克灌注征者43例(71.7%),单侧透明肺者3例(5.0%),支气管壁增厚者20例(33.3%),合并肺不张者6例(10.0%),合并支气管扩张者13例(21.7%),支气管粘液栓4例(6.7%)。结论肺部CT可较清楚地显示小气道的形态学变化特点,较病原学检查、肺功能检测具有无创、精确、可重复等优点,为临床诊断提供一定参考价值。Objective To explore the clinical features and CT imaging of bronchiolitis obliterans in children.Methods The clinical data of 60 children with bronchiolitis obliterans in the department of pediatrics of our hospital were retrospectively analyzed.All the children were given the pulmonary CT examination,and the clinical manifestations and CT imaging features were analyzed.Results In terms of clinical symptoms,there were 32 cases(53.3%)of patients with persistent cough,shortness of breath and dyspnea,and 39 cases(65.0%)with intermittent fever and 28 cases(46.7%)with shortness of breath after activities.From the respect of physical examination in the lungs,there were 37 cases(80.4%)of dry and wet rales,and 44 cases(73.3%)with wheezing rales and 28 cases(46.7%)with combined three depressions sign.Pulmonary CT examination showed that there were 43 cases(71.7%)of patients with mosaic perfusion,3 cases(5.0%)with unilateral transparent lung,20 cases(33.3%)with bronchial wall thickening,6 cases(10.0%)with combined pulmonary atelectasis,13 cases(21.7%)with combined bronchial dilatation and 4 cases(6.7%)with bronchial mucus.Conclusion Pulmonary CT can clearly show the small airway morphological changes,and has the noninvasive,accurate and repeatable advantages compared with the pathogen examination and pulmonary function test,and it can provide a certain reference value for the clinical diagnosis.

关 键 词：儿童 闭塞性细支气管炎 临床特征 CT表现 

分 类 号：R562.2[医药卫生—呼吸系统]