Bellamy E A, Johnston I D, Wilson A G
Clin Radiol. 1987 Jan;38(1):39-43. doi: 10.1016/s0009-9260(87)80397-5.
The chest radiographs of 238 patients admitted to hospital with acute whooping cough are reviewed. Radiographic abnormalities were detected in 63 (26%) patients; pulmonary consolidation was seen in 50 (21%) patients, collapse in nine (4%) and lymphadenopathy in 22 (9%). The most common type of consolidation was peribronchial (72%). Both collapse and consolidation were commoner on the right and tended to involve the lower and middle lobes. These abnormalities were more common in those aged 1 year old or more (p less than 0.001) but no other clinical feature was found to predict those patients with an abnormal chest radiograph. Follow-up radiographs demonstrated no significant radiographic sequelae. Comparison with previous series shows a reduced frequency and change in the pattern of radiological abnormalities over the last 20 years.
对238例因急性百日咳入院患者的胸部X光片进行了回顾。63例（26%）患者检测到X光异常；50例（21%）患者出现肺部实变，9例（4%）出现肺不张，22例（9%）出现淋巴结病。最常见的实变类型是支气管周围型（72%）。肺不张和实变在右侧更常见，且倾向于累及下叶和中叶。这些异常在1岁及以上患者中更常见（p<0.001），但未发现其他临床特征可预测胸部X光异常的患者。随访X光片显示无明显的放射学后遗症。与先前系列研究相比，过去20年放射学异常的频率降低且模式发生了变化。
