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婴幼儿肺部病毒性感染的机会较多,但目前通过分离培养病原体或用免疫学诊断方法迅速确定病因仍有困难。为此,从有利于指导治疗,尽快确诊病毒性肺炎,总结了我院52例婴幼儿患者的临床x线资料,介绍如下。 1 临床资料 1.1 一般资料 本组男29例,女23例。年龄6个月~3岁,其中2岁以内23例。临床上婴幼儿患者除出现病毒性肺炎引起的全身中毒症状外。主要表现为:咳嗽、喘憋。体征;紫钳,三凹征。听诊:呼吸音减弱,有时有哮鸣音及少许水泡音。实验室检查:白细胞正常或偏低,淋巴细胞增多,可有并发症,心力衰竭或呼吸衰竭。 1.2 X线表现 肺纹理增多39(75%),点状形31(60%),肺部过度充气28(54%),肺门旁支气管浸润18(36%),节段性肺实变9(18%),节段性肺不张7(14%)。 2 结果 X线胸片诊断52例婴幼儿肺部疾患,经与实验室检查和临床治疗核对,符合病毒性肺炎诊断41例,其中2例为混合
Infants and young children are more likely to have viral infections of the lungs, but it is still difficult to identify the cause of the disease rapidly by isolating and culturing pathogens or using immunological diagnostic methods. To this end, from conducive to guide treatment, as soon as possible to confirm the diagnosis of viral pneumonia, 52 cases of hospital infants and young children summarized the clinical x-ray data are described below. 1 Clinical data 1.1 General Information The group of 29 males and 23 females. Aged 6 months to 3 years, of which 23 cases within 2 years of age. In addition to the clinical symptoms of systemic poisoning caused by viral pneumonia in infants and young children. Mainly as follows: cough, wheezing. Signs; red clamp, three concave sign. Auscultation: breath sounds weakened, and sometimes wheeze and a little blisters sound. Laboratory tests: normal or low white blood cells, lymphocytes may have complications, heart failure or respiratory failure. 1.2 X-ray findings increased lung texture 39 (75%), 31 points (60%), hyperinflation of the lung 28 (54%), hilar bronchial invasion 18 (36%), segmental pulmonary consolidation 9 (18%), segmental atelectasis 7 (14%). 2 results X-ray diagnosis of 52 cases of infant lung disease, laboratory tests and clinical examination checked in line with the diagnosis of viral pneumonia in 41 cases, of which 2 were mixed