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目的分析总结15例儿童重症H1N1甲型流感影像学表现。方法收集2009年11月—2010年2月确诊H1N1甲型流感(甲流)在重症监护室住院患儿15例,均拍摄床边胸部正位片及常规胸部、头颅SCT扫描,回顾性分析影像学表现。结果 15例重症甲流患儿首次影像学检查肺部均有明显病变,影像表现以大片肺炎肺实变为主;单侧肺部病变4例,双侧肺部病变11例,合并胸腔积液2例,气胸、纵隔积气、皮下积气2例,心包积液1例,胸膜增厚2例,ARDS2例;头颅CT弥漫性脑水肿2例,13例正常。治愈13例,死亡2例。结论儿童重症甲流影像学表现具有一定特点,肺部病变出现早,病变重,病变易反复,及时观察其影像学变化,对临床治疗有重要的指导意义。
Objective To analyze and summarize the imaging findings of 15 children with severe H1N1 influenza A virus. Methods Fifteen children hospitalized with H1N1 Influenza A (H1N1) in intensive care unit were collected from November 2009 to February 2010. All of the patients underwent bedside chest radiography and conventional chest and skull SCT scanning. The retrospective analysis of the images Learning performance. Results 15 cases of severe A flow in children for the first time imaging examination of the lungs were significantly lesion, image manifestations of large lung pneumonia consolidation; unilateral lung disease in 4 cases, bilateral lung lesions in 11 cases, with pleural effusion 2 cases, pneumothorax, mediastinal gas accumulation, subcutaneous gas in 2 cases, 1 case of pericardial effusion, pleural thickening in 2 cases, ARDS 2 cases; cranial CT diffuse cerebral edema in 2 cases, 13 cases of normal. 13 cases were cured and 2 died. Conclusion The manifestations of severe A-flow in children have certain characteristics. Early and severe pulmonary lesions appear, the lesions are easy to be repeated and the imaging changes are observed in time, which is of great guiding significance for clinical treatment.