摘要
目的探究在儿童闭塞性细支气管炎诊断时,使用16排螺旋CT的价值。方法对江门市妇幼保健院2014年1月—2017年1月间收治的218例儿童闭塞性细支气管炎患者实施16排螺旋CT检查,对检查结果进行分析。结果 218例患儿均存在不同程度的喘息、气促、运动耐力下降、咳嗽等情况,CT诊断明显可见患儿肺部的支气管征象,同时对患儿的病变部位做出判断和分析。其中,80例存在肺部空气潴留现象;218例存在肺部灌注不良的现象,同时出现马赛克灌注征象;103例有细支气管壁增厚的现象;120例出现外周细支气管扩张现象。结论儿童闭塞性细支气管炎的CT诊断发现,其能够准确地对患儿疾病情况做出分析,判断病变的部分病理变化,利于临床根据患儿情况对其实施相应的治疗,因此CT检查值得在儿童闭塞性细支气管炎诊疗的过程中应用。
Objective To explore the value of 16-slice spiral CT in the diagnosis of children with occlusive bronchiolitis. Methods 218 children with bronchiolitis obliterans from January,2014 to January,2017 were treated by 16 slice spiral CT,and the results of the examination were observed and analyzed. Results 218 patients have different degrees of wheezing,shortness of breath,decreased exercise tolerance,cough and so on. CT diagnosis shows bronchial signs in the lungs of patients. At the same time,the patients could be judged and analyzed. 80 cases have pulmonary air retention. 218 patients have a poor pulmonary perfusion phenomenon,with mosaic signs of perfusion. 103 patients have bronchial wall thickening phenomenon. 120 patients have peripheral bronchiectasis. Conclusion The diagnostic value of CT diagnosis of children with occlusive bronchiolitis is that it can accurately analyze the condition of patients＇ disease and identify the details of the disease. It is helpful to timely and appropriate treatment according to the actual situation of the patients. So CT diagnosis is worthwhile in the treatment of childhood bronchiolitis.
作者
刘创
陈兰香
王珂
张丽霞
LIU Chuang, CHEN Lan-xiang, WANG Ke, et al.(Maternai and Child Health Hospital of Jiangmen City, Jiangmen, Guangdong, 529000, Chin)
出处
《黑龙江医学》
2018年第3期249-250,共2页
Heilongjiang Medical Journal
