不同年龄小儿支气管肺炎的临床表现和X线摄片结果

邓巍昆

（陕西省商南县医院放射科，陕西商洛，726300）

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摘要：

目的 分析不同年龄段小儿支气管肺炎的临床表现和X线摄片结果。方法 回顾性分析我院2015年1月至2016年1月收治的160例小儿支气管肺炎患儿的临床资料，按照不同年龄将所有患儿分为两组，年龄在0~5岁的患儿作为研究组(80例)，年龄在5岁以上患儿作为对照组(80例)。两组均给予X线摄片检查，观察比较两组患儿的临床表现及X 线摄片结果。结果 临床表现：研究组患儿中，喘息36例，干啰音28例，湿啰音52例，干咳32例，咳痰48例，24例体温≤38.5℃，56 例体温>38.5℃;对照组中，喘息10例，干啰音50例，湿啰音30例，干咳58例，咳痰22例，4例体温≤38.5 ℃，76 例体温>38.5℃;两组患儿临床表现比较，差异有统计学意义(P<0.05)。X线摄片结果：研究组80例患儿中，Ⅰ型28例，Ⅱ型22例，Ⅲ型24例，Ⅳ型6例;对照组患儿中，Ⅰ型22例，Ⅱ型30例，Ⅲ型18例，Ⅳ型10例，两组患儿X线摄片结果比较无明显差异(P>0.05)。结论 0~5岁和5岁以上的小儿支气管肺炎的临床表现不同，不能单纯以X线摄片的诊断结果为准，临床诊断时需结合患儿的年龄进行诊别。

关键词：小儿支气管肺炎；诊断；X线摄片

中图分类号：R725.6文献标志码：A文章编号：2096-1413(2017)05-0147-02

The clinical manifestations and X-ray examination results of bronchial pneumonia children in different age

DENG Wei-kun

(Department of Radiology, Shangnan County Hospital, Shangluo 726300, China)

ABSTRACT: Objective To analyze the clinical manifestations and X-ray examination results of bronchial pneumonia children in different age. Methods One hundred and sixty cases of children with bronchial pneumonia in our hospital from January 2015 to January 2016 were retrospectively analyzed, all the children were divided into two groups according to the age, children aged 0-5 years were classified to study group (80 cases), and children aged over 5 years were classified to control group (80 cases). Both of the two groups were given X-ray radiography examination, the clinical manifestations and X-ray examination results were compared between the two groups. Results The clinical manifestations: in the study group,there were 36 cases of wheezing, 28 cases of dry rales, 52 cases of wet rales, 32 cases of dry cough,48 cases of sputum, 24 cases with body temperature of≤38.5 ℃, 56 cases with body temperature of >38.5℃. In the control group, there were10 cases of wheezing, 50 cases of dry rales, 30 cases of wet rales, 58 cases of dry cough, 22 cases of sputum, 4 cases with body temperature of ≤38.5℃, 76 cases with body temperature of >38.5℃. The difference of clinical manifestations between the two groups was significant (P<0.05). X-ray examination results: in the study group, there were 28 cases of typeⅠ, 22 cases of typeⅡ, 24 cases of type，Ⅲand 6 cases of typeⅣ. In the control group, there were 22 cases of typeⅠ, 30 cases of typeⅡ, 18 cases of type，Ⅲ, 10 cases of typeⅣ. There was no significant difference in X-ray examination results between the two groups (P>0.05). Conclusion There are different clinical manifestations between children with bronchial pneumonia aged 0-5 years and aged over 5 years, so only X-ray results is could not diagnose the disease properly, children age should be considered in the diagnosis of bronchial pneumonia.

KEYWORDS: children with bronchial pneumonia; diagnosis; X-ray radiography

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