家庭聚集性儿童新型冠状病毒肺炎的临床特征及床旁肺超声表现  

Clinical characteristics and bedside lung ultrasound findings of family-clustered pediatric COVID-19

作　　者：尹慧[1] 吴海燕[1] 陈继[1] 李蓬[1] 陈少雷[1] YIN Hui;WU Hai-yan;CHEN Ji;LI Peng;CHEN Shao-lei(Department of Ultrasound,Guoyao Dongfeng Hospital Affiliated to Hubei University of Medicine,Shiyan 442000,China)

机构地区：[1]湖北医药学院附属国药东风总医院超声科,十堰市442000

出　　处：《广西医学》2020年第10期1281-1284,共4页Guangxi Medical Journal

摘　　要：目的探讨家庭聚集性儿童新型冠状病毒肺炎(COVID-19)的临床特征及肺超声表现。方法回顾性分析15例COVID-19患儿的临床表现、实验室检查结果及肺超声声像图表现。结果15例患儿以发热为主要表现(80.0%),症状较轻;14例(93.3%)患儿白细胞计数正常,15例(100.0%)患儿淋巴细胞计数正常或升高;仅9例(60.0%)患儿首次鼻拭子或咽拭子新型冠状病毒核酸检测呈阳性。15例患儿床旁肺超声均有阳性表现,主要超声征象包括肺实变(15例)、多区域多条B3线及(或)B7线(15例)、肺泡间质综合征(10例)、胸膜线异常(11例)、局限性胸腔积液(3例)。结论家庭聚集性儿童COVID-19临床表现及实验室检查不典型,其肺超声声像图表现多样。在特定的流行病学背景下,及时开展肺超声检查,可对疾病做出辅助诊断。Objective To explore the clinical characteristics and bedside lung ultrasound findings of family-clustered pediatric COVID-19.Methods A retrospective analysis was performed on clinical manifestations,clinical laboratory results and lung ultrasound findings of 15 children with COVID-19.Results The 15 children exhibited relatively mild symptoms with fever as the main manifestation,accounting for 80.0%;normal WBC count was found in 14(93.3%)cases and normal/elevated lymphocyte count in 15(100.0%)children;the first 2019-nCoV nasopharyngeal swab nucleic acid test yielded a positive result only in 9(60.0%)children.Positive findings of bedside lung ultrasound was observed in all of the 15 children,and the main ultrasound signs involved pulmonary consolidation(15 cases),multiple B3 lines and/or B7 lines in multiple regions(15 cases),alveolar interstitial syndrome(10 cases),abnormal pleural line(11 cases),and localized pleural effusion(3 cases).Conclusion For family-clustered pediatric COVID-19,its clinical manifestations and clinical laboratory test results are atypical,and its lung ultrasound findings are diverse.Under the specific epidemiological background,conducting lung ultrasound inspection timely can supply an auxiliary diagnosis for diseases.

关 键 词：新型冠状病毒肺炎 儿童 家庭聚集 肺超声 临床特征 

分 类 号：R563.12[医药卫生—呼吸系统]