兒童H5N1 型禽流感病毒性肺炎的胸部X 線表現
( 附確診及疑似病例各一例)
金科 陳樺 譚利華 袁友紅 肖恩華 羅如平 李望明 徐和平
【摘要】 目的 描述兒童高致病性H5N1 型禽流感病毒性肺炎患者的胸部X 線表現。方法
回顧性分析1 例經世界衛生組織確認為H5N1 型禽流感病毒感染患者及1 例疑似患者的胸部X 線表
現。結果 2 例患者的胸部X 線表現特點為: 兩肺大致對稱、廣泛分布的團絮狀及大片狀滲出病變,
密度較高, 邊緣模糊; 動態觀察短期內病灶形態變化快, 呈游走性; 后期遺留纖維化病變。結論 兒童
高致病性H5N1 型禽流感病毒性肺炎的動態胸部X 線表現具有一定特征性。熟悉其胸部X 線表現
有助于該病的診斷, 但最終確診須依靠流行病學史及實驗室檢查。
【關鍵詞】 兒童; 肺炎, 病毒性; 流感; 放射攝影術, 胸部
The chest X-ra y manifestat ions of childr en with highly pa thogenic H5N1 a via n influenza virus
infection ( a r eport of 1 final diagnosis ca se and 1 bor der line case) J IN Ke* , CHEN Hua , TAN Lihua,
YUAN You-hong, XIAO En-hua , LUO Ru-ping, LI Wa ng-ming, XU He-ping. * Depa rtment of
Radiology, Hunan Province Child′s Hospita l, Changsha 410007, China
【Abstr act】 Objective To describe the chest X-ray manifestations of children with highly pathogenic
H5N1 avian influenza virus infection. Methods The pulmonary X-ray findings in 1 patient was confirmed by
the World Health Organization infected H5N1 avian influenza virus and 1 borderline patient was
retrospectively analyzed. Results Both sides of lung field showed the cloudy and massive infiltration in
chest X-ray film. The lesions of lung distributed extensively and symmetrically. Radiological dynamic
changes showed the variation of the lesions of lung was quick in a short time. It had a characteristic of roving
around. The lesions of lung appeared fibrosis at the period of the end. Conclusion There are some
radiographic characteristics in children with H5N1 avian influenza virus infection. It will be helpful for its
diagnosis when getting familiar with its X-ray manifestations, but the final diagnosis is dependent on the
epidemiology history and laboratory results.
【Key wor ds】 Child; Pneumonia, viral; Influenza; Radiography, thoracic