婴儿巨细胞病毒肺炎23例临床及X线特点

    Clinical and X-ray features of cytomegalovirus pneumonia in infants: A report of 23 cases

    • 摘要: 目的: 探讨婴儿巨细胞病毒肺炎的临床及X线特点。方法: 收集经酶免疫斑点技术确诊的23例婴儿巨细胞病毒肺炎,总结其临床及X线特点。结果: 婴儿易发病,特别是2~3个月婴儿多见;临床主要表现咳嗽、喘憋伴哮鸣音,可伴有肝损害和贫血;胸部X片表现间质浸润、斑点状或斑片状影、肺气肿和肺门增大,同一患者可有1~4种病变同时存在。结论: 婴儿巨细胞病毒肺炎主要表现为急性毛细支气管炎,可伴有肝损害和贫血;胸部X片表现多样化,且无特异性,确诊依赖于病原学诊断。

       

      Abstract: Objective: To explore the clinical and X-ray features of cytomegalovirus pneumonia in infants.Methods: Clinical and X-ray features of 23 infants with cytomegalovirus pneumonia confirmed by enzymeimmunity-spot technique were observed.Results: Infants were easily affected by the disease with a peak incidence at approximately 3 months of age.The main clinical manifestations were paroxysmal wheezy cough and wheezes during expiratory phase of breathing,accompanied by liver damage!and anemia;the chest roentgenographic findings revealed interstitial pneumonia,ill defined patches,superinflation of the lungs and hilus enlargement;there might be 1 to 4 pathological types existing in one patient.Conclusions: The characteristic of infant cytomegalovirus pneumonia is bronchiolitis accompanied with liver damage and anemia.The chest roentgenographic findings reveal a variety of pathological changes and display no specific features,so definite diagnosis relies on etiology.

       

    /

    返回文章
    返回