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目的了解小儿肺炎支原体肺炎的X线影像学改变的特点及临床意义。方法对2003年12月至2004年5月收治的28例确诊为肺炎支原体肺炎患儿的X线表现进行回顾性分析。结果X线胸部CR片10例显示大片状不规则高密度影,10例为淡片状模糊阴影,6例为纹理模糊,2例为纹理增粗;合并胸腔积液2例,合并肺不张3例,合并膈肌粘连1例。右肺改变13例,左肺改变9例,两侧均有改变6例。结论肺炎支原体肺炎X线改变多种多样,以间质改变为主,轻重不一,以大片状高密度影及淡片状阴影为主约占71.4%,以单侧为主约占78.6%,重者呈大片高密度影或可合并胸腔积液、肺不张等,轻者仅为肺纹理模糊或肺纹理增粗。
Objective To understand the characteristics and clinical significance of X-ray findings in children with Mycoplasma pneumoniae pneumonia. Methods The clinical data of 28 cases diagnosed as Mycoplasma pneumoniae pneumonia from December 2003 to May 2004 were analyzed retrospectively. Results X-ray chest radiographs of 10 cases showed large irregular high-density images, 10 cases of faint fuzzy shadows, 6 cases of texture blur, 2 cases of texture thickening; combined pleural effusion in 2 cases, combined with lung Zhang 3 cases, 1 case of diaphragm adhesion. Right lung changes in 13 cases, left lung changes in 9 cases, both sides have changed in 6 cases. Conclusion Mycoplasma pneumoniae pneumonia varied in a variety of ways, with the main changes in the quality of the interstitial, varying in severity, with large high-density and light flake shadows accounted for about 71.4%, with unilateral accounted for about 78.6% , Severe cases were large high-density film or pleural effusion may be merged, such as atelectasis, light only lungs fuzzy or lung texture thickening.