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目的 探讨X线诊断对非典型肺炎的诊断价值。方法 报告 12 0例资料完整 ,经X线诊断和临床治疗确诊的非典型肺炎 ,对比观察各病例治疗前后的X线影像改变。结果 12 0例非典型肺炎按X线表现大致可分为以下 4大类 :①肺部间质性改变3 4例 ,占 2 8.3 % ,其中双侧弥漫性改变 2 8例 ;②节段性或散在云絮状炎症改变 3 8例 ,占 3 1.7% ,其中双侧 17例 ,单侧 2 1例 ;③大片渗出性炎性改变 3 2例 ,占 2 6.7% ,其中双侧 13例 ,单侧 19例 ;④其它改变 16例 ,占 13 .3 %。结论 非典型肺炎的X线可有多种表现形式 ,大致可分为轻型SARS、典型SARS、不典型SARS和重型SARS 4大类型 ,X线检查对非典型肺炎的诊断和预后有重要临床价值。
Objective To investigate the diagnostic value of X-ray diagnosis of atypical pneumonia. Methods A total of 120 cases of atypical pneumonia confirmed by X-ray diagnosis and clinical treatment were reported. The changes of X-ray images before and after treatment were observed. Results According to the X-ray findings, 120 cases of atypical pneumonia can be divided into the following four categories: ① interstitial lung changes in 34 cases, accounting for 8.3%, including bilateral diffuse changes in 28 cases; ② segmental Or scattered flocculent inflammation 38 cases, accounting for 31.7%, of which 17 cases of bilateral, unilateral 21 cases; ③ large exudative inflammatory changes in 32 cases, accounting for 6.7%, of which 13 cases of bilateral , Unilateral in 19 cases; ④ other changes in 16 cases, accounting for 13.3%. Conclusions The X-ray findings of atypical pneumonia can be manifested in many forms and can be broadly divided into four types: light SARS, typical SARS, atypical SARS and severe SARS. X-ray examination has important clinical value in the diagnosis and prognosis of atypical pneumonia.