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目的总结手足口病患儿的临床及胸部X线片资料,以期提高对这一传染病的认识。方法回顾性分析185例临床诊断手足口病患儿的临床和影像学资料。185例患儿共摄X线胸片460张。结果 185例手足口病患儿均有不同程度发热;手和/或足和/或口和/或肛周部位出现皮疹和/或疱疹;11例不同程度咳嗽,4例12h后病情加重,不同程度高热、抽搐、发绀,诊断为重症。胸部X线检查,肺纹理增强者87例,下肺野斑点状影40例,大片状影1例,复查发现肺水肿2例。结论动态观察胸部X线改变,可及时反映病情变化,对指导临床治疗及判断预后有重要参考价值。
Objective To summarize the clinical and chest radiographs of children with hand-foot-mouth disease in order to raise awareness of the epidemic. Methods The clinical and imaging data of 185 children with hand-foot-mouth disease were retrospectively analyzed. 185 cases of children with a total of 460 X-ray chest. Results 185 cases of hand, foot and mouth disease in children with varying degrees of fever; hand and / or foot and / or mouth and / or perianal rash and / or herpes appear; 11 cases of varying degrees of cough, 4 cases after 12h exacerbations, different High fever, convulsions, cyanosis, diagnosis of severe. Chest X-ray examination, 87 cases of enhanced lung markings, lung spot under the shadow of 40 cases, 1 large flaky, found pulmonary edema in 2 cases. Conclusions Dynamic observation of chest X-ray changes can reflect the changes of the disease in time, which has important reference value for guiding the clinical treatment and prognosis.