CAJ | 학술논문

目的：探讨小儿麻疹合并重症肺炎的影像学表现，以提高对这一疾病的认识和诊断水平。方法：回顾分析35例小儿麻疹合并重症肺炎的临床资料及其影像学表现。结果：（1） X线胸片表现：小叶性肺炎14例，均伴有两肺门影增大、增浓，两肺纹理的增多和模糊；两肺多发的斑片状或大片状模糊影15例；单个肺叶的实变4例；大白肺2例；其中伴磨玻璃影9例。（2）8例高分辨率CT（HRCT）表现：两肺多发片状实变影5例，右上肺大片实变影2例，两肺磨玻璃影3例。（3）合并症：心影增大5例，气胸2例，纵隔皮下气肿4例，胸腔积液6例。结论：结合临床分析婴幼儿麻疹合并重症肺炎的影像学表现，对于提高诊断水平和指导临床治疗及疗效评估有重要意义。
목적：탐토소인마진합병중증폐염적영상학표현，이제고대저일질병적인식화진단수평。방법：회고분석35례소인마진합병중증폐염적림상자료급기영상학표현。결과：（1） X선흉편표현：소협성폐염14례，균반유량폐문영증대、증농，량폐문리적증다화모호；량폐다발적반편상혹대편상모호영15례；단개폐협적실변4례；대백폐2례；기중반마파리영9례。（2）8례고분변솔CT（HRCT）표현：량폐다발편상실변영5례，우상폐대편실변영2례，량폐마파리영3례。（3）합병증：심영증대5례，기흉2례，종격피하기종4례，흉강적액6례。결론：결합림상분석영유인마진합병중증폐염적영상학표현，대우제고진단수평화지도림상치료급료효평고유중요의의。
Objective: To discuss the imaging patterns of measles with severe pneumonia in children , and to improvethe diagnositic level of this disease .Methods:Clinical data and image findings of 35 cases of children with measles complicated with severe pneumonia were retrospectively analyzed .Results: ( 1 ) The findings of chest X-ray:X-ray examination found 14 cases of lobular pneumonia with enlarged and densified pulmonary hila ,increased and blurred lung markings; there are two pulmonary multiple patchy or big shape fuzzy shadows in 15 cases; 4 cases showed consolidation of single lobe;2 cases showed large white lung;accompanied with ground glass opacity in 9 cases.(2) In 8 patients with high resolution CT (HRCT) performance:There are two pulmonary multiple patchy consolidation in 5 cases, there are right upper lung lobes consolidation in 2 case, 3 cases showed two pulmonary ground-glass opacity .( 3 ) The complications:5 cases had the enlargement of the heart , 2 cases had pneumothorax ,4 cases had subcutaneous emphysema in mediastinum ,6 cases had pleural effusion .Conclusion:Combined with clinical ,the analysis of measles in infant with severe pneumonia imaging can improve the level of diagnosis and has important significance to guide clinical treatment and curative effect assessment .