中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
z2期
9-10
,共2页
婴幼儿%结核%肺%放射摄影术
嬰幼兒%結覈%肺%放射攝影術
영유인%결핵%폐%방사섭영술
Infant%Tuberculosis,Pulmonary%Radiography
目的 探讨婴幼儿肺结核的影像学表现,提高婴幼儿肺结核的早期正确诊断率,减少误诊.方法 选择近两年来经确诊的12例婴幼儿肺结核患者进行回归性分析.结果 12例患者中咳嗽咳痰8例,气促、喘息5例;发热10例,最高体温达40 ℃,最低38 ℃;盗汗4例,消瘦5例;有神经系统症状者5例,伴头痛、抽搐3例,意识障碍1例;12例全部行胸部正侧位X线检查,其中6例患儿行胸部和胸外器官的螺旋CT平扫及增强扫描:表现为急性粟粒性肺结核7例;原发综合征3例,其中2例并纵隔淋巴结肿大,1例单纯为纵隔淋巴结肿大;继发性肺结核1例,左肺上叶肺不张1例.12例中合并结核性脑膜脑炎3例,脊柱结核1例,腹腔结核1例(肝脾结核),伴有胸水和胸膜增厚者3例.结论 婴幼儿肺结核影像学具有一定的特点,结合临床症状及病史,可以早期作出诊断,为临床及时治疗提供依据.
目的 探討嬰幼兒肺結覈的影像學錶現,提高嬰幼兒肺結覈的早期正確診斷率,減少誤診.方法 選擇近兩年來經確診的12例嬰幼兒肺結覈患者進行迴歸性分析.結果 12例患者中咳嗽咳痰8例,氣促、喘息5例;髮熱10例,最高體溫達40 ℃,最低38 ℃;盜汗4例,消瘦5例;有神經繫統癥狀者5例,伴頭痛、抽搐3例,意識障礙1例;12例全部行胸部正側位X線檢查,其中6例患兒行胸部和胸外器官的螺鏇CT平掃及增彊掃描:錶現為急性粟粒性肺結覈7例;原髮綜閤徵3例,其中2例併縱隔淋巴結腫大,1例單純為縱隔淋巴結腫大;繼髮性肺結覈1例,左肺上葉肺不張1例.12例中閤併結覈性腦膜腦炎3例,脊柱結覈1例,腹腔結覈1例(肝脾結覈),伴有胸水和胸膜增厚者3例.結論 嬰幼兒肺結覈影像學具有一定的特點,結閤臨床癥狀及病史,可以早期作齣診斷,為臨床及時治療提供依據.
목적 탐토영유인폐결핵적영상학표현,제고영유인폐결핵적조기정학진단솔,감소오진.방법 선택근량년래경학진적12례영유인폐결핵환자진행회귀성분석.결과 12례환자중해수해담8례,기촉、천식5례;발열10례,최고체온체40 ℃,최저38 ℃;도한4례,소수5례;유신경계통증상자5례,반두통、추휵3례,의식장애1례;12례전부행흉부정측위X선검사,기중6례환인행흉부화흉외기관적라선CT평소급증강소묘:표현위급성속립성폐결핵7례;원발종합정3례,기중2례병종격림파결종대,1례단순위종격림파결종대;계발성폐결핵1례,좌폐상협폐불장1례.12례중합병결핵성뇌막뇌염3례,척주결핵1례,복강결핵1례(간비결핵),반유흉수화흉막증후자3례.결론 영유인폐결핵영상학구유일정적특점,결합림상증상급병사,가이조기작출진단,위림상급시치료제공의거.
Objective To raise final diagnosis of infant' tuberculosis of lungs and toreduce misdiagnosis by approaching baby' imaging appearance.Methods Analyzing 12 cases of infant' tuberculosis of lungs of final diagnosis during near two yeas.Results In 12 cases,8 cases were to cough up phlegm,5 cases were being breathlessness and to gasp for breath,10 cases have a temperature,hyperthermia was understanding 40 ℃,minimum was 38 ℃,4 cases have night sweat,5 cases were being symptomsis,5cases have symptom of nervous system, there were 3 cases with headache and hyperspasmia,1 case with conscious disturbance;All cases were examined by normal side projection,among these there are 6 cases were examined by plain scan and enhancement scanning of CT;There were 7cases with acute miliary tuberculosis,3 cases with primary complex,2 cases with mediastinal lymphadenectasis, 1case with pure mediastinal lymphadenectasis;1 case with secnd pulmonary tuberculosis,1 case with superior' pulmonary atelectasis lobe of left lung;3 cases with tuberculous meningoencephalitis,1 case with spinal tuberculosis,1 case with Tuberculous abdominal cavity,3 cases with pleural fluid and pleural thickening among 12 cases.Conclusion Earlier diagnosis can be reached according by Baby' imaging appearance and clinical symptom, to treat in time.
