成人和儿童葡萄球菌肺炎的影像学特征。
Radiographic features of staphylococcal pneumonia in adults and children.
作者信息
Macfarlane J, Rose D
机构信息
Department of Respiratory Medicine, Nottingham City Hospital, UK.
出版信息
Thorax. 1996 May;51(5):539-40. doi: 10.1136/thx.51.5.539.
BACKGROUND
Clinical and laboratory features do not accurately correlate with the cause of community acquired pneumonia. A study was performed to examine whether the radiographic features of staphylococcal pneumonia are sufficiently distinct to aid early diagnosis.
METHODS
The chest radiographs of 34 patients (including eight children) with proven staphylococcal pneumonia were reviewed by two experienced observers using methods described previously. Features on presentation and follow up were noted.
RESULTS
The most striking features were the presence of multilobar consolidation on presentation, cavitation, pneumatocoeles and spontaneous pneumothorax, together with a tendency to radiographic deterioration after admission in both adults and children. Some of these features are much less common with other causes of community acquired pneumonia. However, most of the cases did not have these classic features.
CONCLUSIONS
The presence of certain radiographic features, including multilobar shadowing, cavitation, pneumatocoeles, and spontaneous pneumothorax, are seen with staphylococcal pneumonia in adults and children, but their absence does not exclude the diagnosis.
背景
临床和实验室特征与社区获得性肺炎的病因并无准确关联。开展了一项研究以检验葡萄球菌肺炎的影像学特征是否足够独特，有助于早期诊断。
方法
两名经验丰富的观察者采用先前描述的方法，对34例（包括8名儿童）确诊为葡萄球菌肺炎患者的胸部X光片进行了复查。记录了初诊和随访时的特征。
结果
最显著的特征为初诊时出现多叶实变、空洞形成、肺气囊和自发性气胸，成人和儿童入院后均有影像学恶化的趋势。这些特征中的一些在社区获得性肺炎的其他病因中不太常见。然而，大多数病例并无这些典型特征。
结论
成人和儿童葡萄球菌肺炎可见某些影像学特征，包括多叶阴影、空洞形成、肺气囊和自发性气胸，但无这些特征并不能排除诊断。
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