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目的:分析儿童支原体肺炎的临床及影像学表现,提高其诊断水平。方法:对2007年1月～2009年1月昌江县第二人民医院收治的250例支原体肺炎患儿的临床和影像学表现进行分析。结果:肺间质浸润性病变172例(68.80%),小叶性肺实质浸润病变54例(21.60%),肺段实质性浸润病变24例(9.60%),伴有双侧胸膜炎6例,伴有肺门淋巴结肿大或肺门影增宽、结构不清晰15例,有较明显肺气肿征象6例。结论:支原体肺炎X线呈多样性表现,诊断需认真分析X线征象并密切结合临床表现及实验室检查。
Objective: To analyze the clinical and imaging findings of children with mycoplasma pneumonia and to improve its diagnosis. Methods: The clinical and radiographic findings of 250 cases of Mycoplasma pneumoniae admitted to Changjiang Second People’s Hospital from January 2007 to January 2009 were analyzed. Results: 172 cases (68.80%) of interstitial lung infiltrates, 54 (21.60%) lobular pulmonary parenchymal lesions, 24 cases (9.60%) pulmonary substantive infiltration lesion, 6 cases of bilateral pleurisy accompanied by Hilar lymph nodes or hilar enlargement, the structure is not clear in 15 cases, there are more obvious signs of emphysema in 6 cases. Conclusion: Mycoplasma pneumonia is a variety of manifestations of X-ray, the diagnosis should be carefully analyzed X-ray signs and closely combined with clinical manifestations and laboratory tests.