重症手足口病患儿并发肺水肿的胸部X线表现分析

目的探讨重症手足口病(hand-foot-mouth disease,HFMD)患儿并发肺水肿的胸部X线表现。资料与方法对14例临床确诊为重症HFMD并发肺水肿患儿的胸部X线平片进行回顾性分析。结果重症HFMD患儿并发肺水肿的胸部X线表现为双肺广泛分布的实变影,病变密度多样,可分布于肺野的内、中、外带,肺尖和/或肋膈角区域较少累及或累及程度较轻;随着病情的变化,肺水肿易反复,表现为加重与消散交替变化。结论重症HFMD患儿并发肺水肿的胸部X线表现能够反映病情变化,对指导临床治疗及判断预后具有重要参考价值。

Chest X-ray Manifestation Analysis of Severe Hand Foot Mouth Ddisease with Pulmonary Edeman in Children

Objective To investigate the X-ray manifestation of severe hand foot mouth disease with pulmonary edeman in children.Materials and Methods Clinical data of 14 patients were analyzed retrospectively.Results The chest X-ray of severe hand foot mouth disease showed that there were diffuse infiltrative shadows or even patchy consolidations over both lung fields.The density of the lesion was diversify,it could be dispersed inside,in central or outside the lung fields,apex and costo phrenic angle was invaded rarely.As the disease progress,the edema would aggravate or disappear,and the density and the ambit of the manifest changed.Conclusion The chest X-ray manifestation of severe hand foot mouth disease with pulmonary edema in children can reflect the patient’s condition.It is very worth to guide the clinic treatment and the prognosis.