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目的分析小儿麻疹合并肺炎的X线征象,提高诊断水平。方法回顾性分析我院2005-01—2006-08收治的小儿麻疹310例,其中合并肺炎280例,分析胸部X线片并进行分类。结果麻疹合并肺炎以肺纹理增多、模糊最多,见于所有病例;肺透亮度增高及肺气肿样改变206例(占73.6%);肺内点片状模糊阴影91例(占32.5%);肺门影增大、增浓115例(占41.1%);肺间质改变98例(占35%);重症肺炎及急性呼吸窘迫综合征4例(占1.4%)。结论结合临床分析小儿麻疹合并肺炎的胸部X线表现,对于小儿麻疹合并肺炎的诊断和鉴别诊断有重要价值。
Objective To analyze the X-ray signs of pneumonia in children with measles and to improve the diagnostic level. Methods A retrospective analysis of 310 cases of pediatric measles treated in our hospital from January 2005 to June 2006, including 280 cases of pneumonia, analyzed the chest radiographs and classified them. Results Measles complicated with pneumonia increased lung markings and blurred the most, which was seen in all cases; 206 cases (73.6%) had lung lightening and 112 emphysematous changes; 91 (32.5% There were 115 cases (41.1%) of thickening of the door, 98 cases of interstitial lung (35%), and 4 cases of severe pneumonia and acute respiratory distress syndrome (1.4%). Conclusion Combined with clinical analysis of chest X-ray findings in children with measles combined with pneumonia, the diagnosis and differential diagnosis of measles complicated with pneumonia in children is of great value.