摘要
目的 探讨儿童SARS的胸部X线特征 ,提高其诊断水平。方法 搜集 2 0 0 3年 1～ 4月住院确诊为SARS的患儿 3 5例 ,对其临床、X线资料进行回顾性总结分析。结果 儿童SARS的X线表现为大片实变型 2 7例 ( 77.1% ) ,间质浸润型 6例 ( 17.1% ) ,混合型 2例 ( 5.7% ) ,伴单、双侧肺气肿各 1例 ,全部病例未见肺脓肿和累及胸膜等表现。X线动态变化显示起病急 ,病变出现早 ,进展快 ,多在发病后 5～ 7d达到高峰。X线病变吸收较慢 ,常滞后于临床症状好转 ,超过 15d时基本吸收的占42 .9% ;同时 ,X线表现与临床体征不一致。结论 小儿SARS的X线表现有一定特点 ,诊断需认真分析其X线征象 。
Objective To discuss the radiological characteristics and improve the diagnostic ability of SARS in children. Methods The clinical data and X-ray findings of 35 SARS cases who hospitalized during Jan, 2003～Apr, 2003 were retrospectively analyzed. Results Chest X-ray features were as follows: massive consolidation (27 cases, 77.1%), pulmonary interstitial infiltration (6 cases, 17.1%), and mixed pattern (2 cases, 5.7%). There were two patients with emphysema, but no patient with lung abscess or pleural lesion. The radiological dynamic changes showed that the lesions of lung appeared early, the severest period was between the fifth day and the seventh day, the X-ray findings were not consistent with physical sign, and the absorption of lesion was slower than the clinical process. Conclusion There are some certain radiographic characteristic in children with SARS. A correct diagnosis can be made by closely combining the X-ray findings with clinical and laboratory results.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2003年第9期798-801,共4页
Chinese Journal of Radiology
