呼吸双相对比胸片在小儿支原体肺炎中诊断价值探讨.docVIP

呼吸双相对比胸片在小儿支原体肺炎中诊断价值探讨 　　[摘要]目的 探讨呼吸双相对比胸片在小儿支原体肺炎中的临床诊断价值。方法 选择2016年2月～2017年6月我院收治的小儿支原体肺炎80例患儿，随机分为观察组和对照组，每组各40例。观察组采用呼吸双相对比胸片方式进行，对照组则行常规胸片，对两组胸片提示病灶形态、密度和肺纹理等主要指标进行评价，统计两组诊断率。结果 干预后，观察组病变等级分类得分显著低于干预前观察组及干预后对照组（P0.05）；观察组肺纹理得分显著低于干预前观察组及干预后对照组（P0.05），观察组诊断率显著高于对照组，差异均有统计学意义（P0.05）。结论 对小儿支原体肺炎，使用呼吸双相对比胸片拍摄，能更好地获得肺部病灶形态、密度及肺纹理改变影，提高诊断效率。 　　[关键词]呼吸双相对比；胸片；小儿支原体肺炎 　　[中图分类号] R563.1 [文献标识码] A [文章编号] 1674-4721（2018）1（a）-0119-03 　　[Abstract]Objective To evaluate the clinical value of respiratory biphasic contrast in thoracic mycobacteria with children.Methods 80 children with mycoplasma pneumonia were enrolled from February 2016 to June 2017 and they were randomly divided into observation group and control group，40 cases in each group.The observation group was treated with respiratory biphasic chest radiography.The control group was treated with routine chest radiography.Then the two group of chest radiographs showed with the main indexes of lesion morphology，density and lung texture and diagnosed rate were compared.Results The scores of the lesion grade with observation group was significantly lower than those before and control group after intervention （P0.05），the score of lung-marking in the observation group was significantly lower than those before and control group after intervention （P0.05），the diagnostic rate with the observation group was significantly higher than that the control group，the differences were statistically significant （P0.05）.Conclusion For children with mycoplasma pneumonia to use breathing biphasic contrast chest radiography can better access to lung lesions morphology，density and changes in lung texture，so it can improve diagnostic efficiency. 　　[Key words]Breathing biphasic contrast；Chest radiograph；Pediatric；Mycoplasma Pneumonia 　　肺炎支原?w肺炎主要是因为肺炎支原体导致的呼吸道感染性疾病，好发于婴幼儿及老年人群，其占社区获得性肺炎的10%～40%[1]。本病病变发展可侵犯肺泡而出现支气管与肺血管周围炎症改变，进而侵犯肺泡间隔，引起肺泡上皮细胞的脱落，导致患儿反复咳嗽甚至诱发呼吸衰竭等严重并发症[2]。小儿肺炎支原体的早期诊断与治疗已被广泛关注，但鉴于目前诊断手段有限且相对滞后，仍有部分支原体肺炎患儿临床诊断被延诊或误诊，故探索新的检