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作者回顾性分析了1例患韦格纳氏肉芽肿(Wegener’s grannwmatosis)儿童的胸部X线片、男5例,女6例,年龄7～17岁。9例有咳嗽、发热、关节疼痛,体重减轻等全身症状,2例仅有鼻窦病变,7例有血尿、蛋白尿或贫血,所有病例均经活检证实(肾=9,鼻咽=6,肺=5),7例为多部位活检证实。病例存活6个月至6年以上,平均随访时间为2.4年。11例中2例胸部X线表现正常,病人亦仅有鼻窦病变。7例有弥漫性肺泡和间质的不透明区、主要分布在两肺中下叶,其中5例证实有肺出血。另2例肾功能
The authors retrospectively analyzed a chest X-ray of 1 child with Wegener’s grannwmatosis, 5 males and 6 females, aged 7 to 17 years. Nine patients had systemic symptoms of cough, fever, joint pain and weight loss. Only two patients had sinusitis, seven had hematuria, proteinuria, or anemia. All cases were confirmed by biopsy (Renal = 9, Nasopharyngeal = 6, Lung = 5), 7 cases confirmed by multi-site biopsy. Cases survived 6 months to 6 years or more, with an average follow-up time of 2.4 years. 2 cases of 11 cases of chest X-ray showed normal, the patient also only sinus lesions. Seven cases had diffuse alveolar and interstitial opacities, mainly in the lower lobe of both lungs, of which 5 cases confirmed pulmonary hemorrhage. Another 2 cases of renal function