儿童坏死性肺炎支原体肺炎的影像学表现

目的探讨儿童坏死性肺炎支原体肺炎的影像学特点。方法回顾性分析经临床确诊的17例坏死性肺炎支原体肺炎患儿的临床资料和影像学表现。结果 17例坏死性肺炎支原体肺炎影像学均表现为肺内实质浸润及液性坏死,9例为单一肺叶受累,8例2个及以上肺叶受累;9例肺内有空腔形成;15例合并胸膜改变。随访中17例肺内实质浸润及液化坏死区范围缩小或者明显吸收,2例局部残留支气管扩张。结论儿童坏死性肺炎支原体肺炎表现为肺内实质浸润及液性坏死,可有空腔形成及胸腔积液、胸膜增厚。

Imaging features of necrotic mycoplasma pneumonia in children

Objective To assess the imaging features of necrotic mycoplasma pneumonia in children. Methods Clinical data and imaging findings of 17 children with clinically confirmed necrotic mycoplasma pneumonia were analyzed retrospectively. Results The imaging findings of all the patients were pulmonary substantial infiltration and necrosis, including single lobe involvement in 9 patients and 2 or more lobes involvement in 8 patients. Nine patients had cyst-like formation, 15 combined with pleural effusion. Lung infiltration and liquefaction necrosis reduced or absorbed in all the patients, 2 had bronchiectasis in following up. Conclusion Necrotic mycoplasma pneumonia of children shows substantial infiltration of the lungs and necrosis, cavity formation, pleural effusion and pleural thickening.