小儿肺炎支原体肺炎数字X线胸片影像诊断

发布时间：2018-07-31 05:59

【摘要】：目的:探讨数字X线胸部摄影对小儿肺炎支原体肺炎的诊断价值。方法:对41例血清IgM抗体滴度升高4倍以上的患儿的初次胸部X线平片影像表现进行回顾性分析。结果:37例(90.3%)显示段、叶性分布实变影,8例(19.5%)显示结节样小叶气腔实变,19例(46.3%)显示支气管血管束周围浸润。4例(9.7%)病变累及双肺,30例(73.2%)累及下肺野。第2次抗体滴度≥1280的患儿肺内病变累及范围大于第2次抗体滴度≤640的患儿(χ2=8.789,P=0.003)。结论:叶段分布气腔实变、支气管血管束周围浸润是小儿肺炎支原体肺炎最常见的胸部X线影像表现,结节样小叶中心气腔实变显示率较低。肺炎支原体抗体滴度升高程度可能与肺内病变的严重程度有关。
[Abstract]:Objective: to investigate the diagnostic value of digital X-ray chest radiography for mycoplasma pneumoniae pneumonia in children. Methods: the first chest X-ray findings of 41 children whose serum IgM antibody titers increased 4 times or more were analyzed retrospectively. Results 37 cases (90.3%) showed segment, 8 cases (19.5%) showed nodular lobule lumen consolidation, 4 cases (9.7%) showed infiltration around the bronchovascular bundle, 30 cases (73.2%) involved the lower lung field. The extent of lung involvement in children with second antibody titer 鈮，

本文编号：2154646