目的: 探讨小儿麻疹合并重症肺炎的影像学表现,以提高对这一疾病的认识和诊断水平。方法: 回顾分析35例小儿麻疹合并重症肺炎的临床资料及其影像学表现。 结果: (1) X线胸片表现:小叶性肺炎14例,均伴有两肺门影增大、增浓,两肺纹理的增多和模糊;两肺多发的斑片状或大片状模糊影15例;单个肺叶的实变4例;大白肺2例;其中伴磨玻璃影9例。(2) 8例高分辨率CT(HRCT)表现:两肺多发片状实变影5例,右上肺大片实变影2例,两肺磨玻璃影3例。(3) 合并症:心影增大5例,气胸2例,纵隔皮下气肿4例,胸腔积液6例。结论: 结合临床分析婴幼儿麻疹合并重症肺炎的影像学表现,对于提高诊断水平和指导临床治疗及疗效评估有重要意义。 |
Objective: To discuss the imaging patterns of measles with severe pneumonia in children, and to improvethe diagnositic level of this disease. Methods: Clinical data and image findings of 35 cases of children with measles complicated with severe pneumonia were retrospectively analyzed. Results: (1) The findings of chest X-ray:X-ray examination found 14 cases of lobular pneumonia with enlarged and densified pulmonary hila,increased and blurred lung markings; there are two pulmonary multiple patchy or big shape fuzzy shadows in 15 cases; 4 cases showed consolidation of single lobe;2 cases showed large white lung; accompanied with ground glass opacity in 9 cases. (2) In 8 patients with high resolution CT(HRCT) performance:There are two pulmonary multiple patchy consolidation in 5 cases,there are right upper lung lobes consolidation in 2 case,3 cases showed two pulmonary ground-glass opacity. (3) The complications:5 cases had the enlargement of the heart, 2 cases had pneumothorax,4 cases had subcutaneous emphysema in mediastinum,6 cases had pleural effusion. Conclusion: Combined with clinical,the analysis of measles in infant with severe pneumonia imaging can improve the level of diagnosis and has important significance to guide clinical treatment and curative effect assessment. |
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