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目的分析小儿肺炎支原体肺炎的X射线表现及其肺外临床表现,以提升确诊率。方法选择65例小儿肺炎支原体肺炎患儿,均经实验室检查确诊,对其X射线表现及肺外临床表现进行分析。结果 X射线表现类型:39例为间质浸润型:两肺内带以及心缘外可见,胸片显示肺部纹理增多、增粗,边缘较模糊;17例为腺泡实变型:肺内中带、近肺门以及心缘可见,胸片显示小斑片状阴影,且密度高;9例为混合型:胸片显示肺部纹理增粗、增厚,且较为紊乱,同时伴肺气肿征,少数患儿伴肺门淋巴结肿大影;病灶分布:23例在上叶,42例在下叶。肺外表现:29例患儿肺炎表现为发热、食欲减退、四肢乏力、胸痛、皮疹、肌痛;26例患儿的生化检查结果显示心肌受损;肝肾功能检查结果提示无异常。治疗结束后,经观察所有患儿均成功治愈,临床症状完全消失。结论在X射线下,小儿肺炎支原体肺炎的肺外表现不一,难以统一定性,其中间质改变最为常见,患儿的心肌出现受损的可能性较大,建议采取小儿支原体肺炎临床路径加强临床诊断管理,以提升临床诊断率。
Objective To analyze the X - ray manifestations of children with Mycoplasma pneumoniae pneumonia and its extrapulmonary clinical manifestations to improve the diagnosis rate. Methods Sixty-five children with mycoplasma pneumoniae pneumonia were selected and confirmed by laboratory tests. The X-ray findings and extrahepatic clinical manifestations were analyzed. Results X-ray manifestations: 39 cases of interstitial infiltrate type: the two lungs and the edge of the outer edge of the heart can be seen, the chest showed increased lung texture, thickening, fuzzy edge; 17 cases of alveolar solid type: intrapulmonary With the vicinity of the hilar and the edge of the heart can be seen, small patchy shadows showed high density and high density; 9 cases of mixed type: chest radiograph showed thickening of the lungs, thickening, and more disordered, accompanied by emphysema Levy, a small number of children with hilar lymph node enlargement; lesions distribution: 23 cases in the upper lobe, 42 cases in the lower lobe. Extrapulmonary manifestations: 29 cases of children with pneumonia manifested fever, loss of appetite, weakness, chest pain, rash, myalgia; biochemical examination of 26 children showed myocardial damage; liver and kidney function tests showed no abnormalities. After treatment, all children were observed successfully cured, the clinical symptoms disappeared completely. Conclusions Under the X-ray, mycoplasma pneumoniae pneumonia in children with different performance outside the lungs, it is difficult to uniform qualitative, including the most common changes in the stroma, the possibility of myocardial damage in children is greater, it is recommended to take clinical pathways of children with mycoplasma pneumonia to strengthen the clinical Diagnostic management to improve clinical diagnosis.