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目的:探讨支原体肺炎患儿X线胸片在临床中的指导意义及价值。方法:137例确诊的支原体肺炎患儿,在入院时及治疗后对X线片的表现及特点进行综合分析。结果:小儿支原体肺炎X线表现诸药有以下四种表现:肺间质性病变:表现为肺部纹理不同程度的增粗、紊乱,边缘模糊,可伴有肺门影的增大,表现为自肺门向外呈扇形或扫帚样改变的增粗、僵直的肺纹理。肺段实质性浸润病变:可累及1个或者累及2个肺段呈片状阴影,阴影密度不均,其内可见斑点状或条索状阴影,形状大小不均,偶可累及一个肺叶。小叶实质浸润性病变:表现为肺部中、下野内带的大小不均的片状、斑片状及云雾状阴影,边缘模糊。胸膜改变:表现为胸膜反应,可由少量胸腔积液。结论:小儿支原体肺炎X线表现多样化,但掌握其特点与鉴别诊断,对早期诊断及愈后均有指导意义。
Objective: To investigate the clinical significance and value of X-ray in children with mycoplasma pneumonia. Methods: A total of 137 children with mycoplasma pneumonia were admitted to hospital for comprehensive analysis of their manifestations and characteristics at admission and after treatment. Results: X-ray manifestations of mycoplasma pneumonia in children have the following four manifestations: interstitial lung disease: the performance of varying degrees of lung texture thickening, chaos, edge blur, may be associated with increased hilar shadow, manifested as From the hilar outward fan-shaped or broom-like changes in the thick, stiff lungs texture. Pulmonary substantive infiltration lesions: Involvement of 1 or involving 2 lung segment flaky shadows, uneven shadow density, which can be spotted or bar-like shadow, uneven shape, even involving a lobe. Lobular parenchymal infiltration of lesions: the performance of the lungs, the lower field with uneven size of the patchy, patchy and cloudy shadows, blurred edges. Pleural changes: The performance of pleural reaction, a small amount of pleural effusion. Conclusion: Mycoplasma pneumonia in children with diverse performance of X-ray, but to grasp the characteristics and differential diagnosis of early diagnosis and prognosis are instructive.