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婴幼儿下呼吸道病毒感染性疾病的放射学表现

Radiologic appearance of viral disease of the lower respiratory tract in infants and children.

作者信息

Osborne D

出版信息

AJR Am J Roentgenol. 1978 Jan;130(1):29-33. doi: 10.2214/ajr.130.1.29.

DOI:10.2214/ajr.130.1.29
PMID:202157
Abstract

The radiologic findings in 123 hospitalized children with viral disease of the respiratory tract due to adenovirus, respiratory syncytial virus, parainfluenza, influenza, measles, or herpes virus were retrospectively reviewed. Bronchial wall thickening, peribronchial shadowing and/or associated perihilar streaking were present in 107 cases. Patchy pulmonary shadowing thought to reflect disease at a sublobular or lobular level was present in 72 cases, while areas of coalescent more homogeneous pulmonary shadowing were present in only 20 cases. In general the pulmonary abnormalities were widespread; on the average, two to three lobes demonstrated abnormal pulmonary findings. Poorly defined small pulmonary nodules, while radiologically unimpressive, were noted in 49 cases. Air trapping was observed in 61 cases. Hilar adenopathy was seen in only four cases and was unimpressive. There was a striking absence of pleural effusion, pneumothorax, pneumatocele, and lung abscess in the patients examined.

摘要

对123例因腺病毒、呼吸道合胞病毒、副流感病毒、流感病毒、麻疹病毒或疱疹病毒引起的呼吸道病毒性疾病而住院的儿童的放射学检查结果进行了回顾性分析。107例出现支气管壁增厚、支气管周围阴影和/或相关的肺门周围条纹。72例出现斑片状肺阴影,认为反映小叶或小叶水平的病变,而仅20例出现融合性更强的均匀肺阴影区域。一般来说,肺部异常广泛;平均有两到三个肺叶显示出异常的肺部表现。49例可见边界不清的小肺结节,虽然在放射学上不显著。61例观察到空气潴留。仅4例可见肺门淋巴结肿大,且不显著。在所检查的患者中,明显没有胸腔积液、气胸、肺大泡和肺脓肿。

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