小儿肺炎支原体肺炎X线和CT的临床表现区别

目的:探讨X线和CT诊断小儿肺炎支原体肺炎的临床价值及临床表现的差异性。材料与方法:2013年1月至2013年10月期间,我院诊治的200例支原体肺炎患儿,分别进行胸部X线和CT检查,比较和分析两种检查结果。结果:200例支原体肺炎患儿中,120例病灶位于右肺、57例位于左肺、23例位于双侧肺野,而检查结果均为肺组织实变。X线多表现为间质性浸润,CT表现多为不均匀性高密度影。与X线检查相比,CT检查的临床诊断率更高(84.0%vs 70.0%),能够更好地显示肺内病灶及合并症。结论:对于小儿肺炎支原体肺炎,应结合临床症状和体征、实验室检查,以及影像学检查,进行综合诊断。

The Difference of Clinical Manifestations Between X-ray and CT for Mycoplasma Pneumonia in Children

Purpose： To study the clinical value and difference of clinical manifestations between X-ray and CT for mycoplasma pneumonia in children. Materials and Methods： The 200 cases of mycoplasma pneumonia in children in our hospital during the Jan 2013 to Oct 2013 were done by chest X-ray and CT examinations. The examination results were compared and analyzed. Results： In the 200 cases of mycoplasma pneumonia in children, 120 lesions focused in the right lung, 57 cases in left lung, 23 cases in bilateral lung. The two examination results showed that the lesions were lung tissue consolidation, and the X-ray mainly showed the interstitial infiltration and CT mainly showed that homogeneous high density. Com- pared with the X-ray examination, the clinical diagnosis rate of CT examination was significantly increased （ 84. 0% vs 70. 0% ）and can better show the pulmonary lesions and complications. Conclusion： For the mycoplasma pneumonia in children, should combine with clinical symptoms and signs, laboratory examination, and imaging examination and then comprehensively do the clinical diagnosis.