儿童大叶性肺炎误诊43例分析

目的:探讨儿童大叶性肺炎临床表现和诊断要点.方法:对2006年1月～2010年12月于我院接受诊治的43例儿童大叶性肺炎患儿的临床症状、体征,病原学特点及治疗转归进行回顾性分析.结果:儿童大叶性肺炎以发热、咳嗽为主要临床症状,入院前病程大部分在1周以上;早期体征不明显,大部分表现为病例呼吸音减弱,后期主要为湿性啰音;胸...

Misdiagnosis of 43 children cases of lobar pneumonia

Objective： To investigate the clinical manifestations and diagnosis of lobar pneumonia of children.Methods： Clinical data of 43 children with lobar pneumonia admitted from January 2006 to December 2010 were retrospectively analyzed,including clinical symptoms and signs,pathogen characteristics,treatment and outcome.Results： Fever and cough were main symptoms of children lobar pneumonia,and pre-hospital course was longer than 1 week.The early signs were not obvious.Most cases showed decreased breath sounds and wet rale in advanced stage;distribution of shadow with increased density in segment or in lobe in chest X-ray or chest CT.Conclusions： The prevalence of lobar pneumonia of children is increasing.For children with fever and/or cough for more than 1 week,chest X-ray examination is important,no matter they have positive lung signs or not.