小儿支原体肺炎66例CR改变分析

目的:探讨小儿支原体肺炎影像改变规律。方法:通过对我院已确诊的66例小儿支原体肺炎患者的CR表现进行分析。结果:男35例,女31例;年龄2个月～5岁36例,6～11岁30例,单侧病变27例(59.10%),双侧39例(59.10%),肺段/肺叶实变16例(24.24%),间质性炎性改变28例(42.42%),肺门周围浸润性病变9例(13.64%),混合型10例(15.15%),胸膜反应改变1例(1.52%),肺不张2例(3.03%)。结论:0～5岁以间质性和混合型病变为主,6～14岁以节段型病变为主。X线表现与临床体征不同步;肺部体征轻,X线征象重;X线阳性率明显高于体征阳性率。CR检查对小儿支原体肺炎的诊断具有明显的优越性。

Analysis of CR changes in 66 children with Mycoplasma pneumonia

Objective To explore the image change laws of Mycoplasma pneumoniae in children.Method The CR performances of 66 cases of Mycoplasma pneumonia were analyzed.Results Sex： male of 35 cases,female of 31 cases;age： two months to 5 years in 31 cases,～ 11 years in 30 cases;27 cases （40.9% ） with unilateral lesion and 39 cases （59.1% ） with bilateral lesion,lung segment / lobar consolidation in 16 cases （24.24% ） ,interstitial inflammatory changes in 28 cases （42.42% ） ,lesion invasion around hilar in 9 cases （13.64%） ,mixed type in 10 cases （15.15%） ,pleural reaction in 1 case （1.52%） ,atelectasis in 2 cases （3.03%） .Conclusion Children of 0 ～ 5 years mainly have the interstitial and mixed-type lesions,～ 14 years mainly segmental lesion.X-ray findings and clinical signs are not synchronized;lung signs are light and X-ray findings are severe;X-ray positive rate is significantly higher than the positive rate of signs.CR examination has obvious advantages in the diagnosis of Mycoplasma pneumonia in children.