儿童支原体肺炎合并细菌感染的CT影像学特点分析

发布时间：2018-03-29 20:38

本文选题：支原体肺炎　切入点：儿童　出处：《中华医院感染学杂志》2017年02期

【摘要】：目的探讨儿童支原体肺炎合并细菌感染的CT影像学特点及临床资料,为临床诊断及治疗提供可靠依据。方法选择2014年1月-2016年4月医院接诊的80例儿童支原体肺炎患儿,按年龄不同将患儿分为3组,1岁21例,1~3岁32例;3岁27例;比较3组患儿CT影像学特点及临床特征。结果患儿年龄越小,肺Up音表现越多;年龄越大,大叶性肺炎发生率越高,且C-反应蛋白(CRP)水平越高,差异均有统计学意义(P0.05);在1~3岁患儿中,影像学结果主要以斑片样影为主,占62.50%(20/32),在3岁的患儿中,影像学结果主要以大片影为主,占62.96%(17/27),3组患儿比较差异有统计学意义(P0.05);在右侧单侧肺部受累及左侧单侧肺部受累的发生中,随着患儿年龄增加,发生率也随之增加,在双侧肺部受累中,随着年龄增加,发生率随之减少,差异均有统计学意义(P0.05)。结论在不同年龄的儿童支原体肺炎合并细菌感染的患儿中,其影像学特点具有一定特征,临床上可早期进行CT影像学检查。
[Abstract]:Objective to investigate the CT imaging features and clinical data of mycoplasma pneumonia complicated with bacterial infection in children, and to provide reliable basis for clinical diagnosis and treatment. Methods 80 children with mycoplasma pneumonia were selected from January 2014 to April 2016. According to the age, the children were divided into 3 groups: 21 cases were 1 year old, 32 cases were 1 year old, 32 cases were 3 years old, 27 cases were 3 years old, the CT imaging features and clinical features of the 3 groups were compared. Results the younger the children were, the more the pulmonary up tone was, and the higher the incidence of lobar pneumonia was, the older the age was, the higher the incidence of lobar pneumonia was. The higher the level of C-reactive protein (CRP) was, the more significant the difference was (P 0.05). In the children aged 1 to 3 years old, the imaging results were mainly macular shadow, accounting for 62.50% of 32%, and in 3 years old, the main imaging results were large shadow. There was a statistically significant difference among the three groups (62.96% 17 / 27%). In the occurrence of unilateral lung involvement on the right side and unilateral lung involvement on the left side, the incidence increased with the age of the child, and in the bilateral lung involvement, the incidence increased with age. The incidence of mycoplasma pneumoniae in children with bacterial infection was decreased, and the difference was statistically significant (P 0.05). Conclusion the imaging features of children with mycoplasma pneumonia complicated with bacterial infection in children of different ages have certain characteristics, and CT imaging can be performed early in clinic.
【作者单位】：郑州大学附属郑州中心医院放射科;
【基金】：河南省科技厅科技发展计划(14A330124)
【分类号】：R725.6;R816.92

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