期刊文献+

手足口病的临床及胸部X线分析 被引量:8

Analysis of Clinical and Chest Radiographic Manifestations of Hand-Foot-Mouth Disease
下载PDF
导出
摘要 目的:探讨手足口病(HFMD)的临床及胸部X线表现。方法:搜集经临床确诊为HFMD的38例患儿的病例资料,对其临床、X线资料进行回顾性分析。结果:HFMD的临床主要特点是持续发热,口腔、手足部掌面及肛周多发性疱疹。胸部X线表现为肺纹理增强5例(13.2%),支气管肺炎或肺炎28例(73.7%),肺水肿2例(5.3%),无明显异常3例(7.9%)。肺部病变出现早,变化快,发病后2~4d达到高峰,多数在1周左右吸收消散。肺部改变与临床表现基本一致。结论:HFMD的胸部X线表现可反映其病情变化,对了解病情、指导治疗及预后判断具有重要意义。 Objective: To investigate the clinical and chest radiographic manifestations of hand-foot-mouth disease (HFMD). Methods:The clinical and chest radiographic findings of 38 pediatric patients with HFMD were retrospectively analyzed. Results: The main clinical symptoms were fever and multiple herpes in mouth,palm, sole and peri-anus area. Chest X-ray manifestations included increase d broncho-vascular shadows of lung in 5/38 patients (13.2%) ;broncho-pneumonia or pneumonia in 28/38 patients (73.7%) ;pulmonary edema in 2/38 patients (5.3%) ;normal chest radiography in 3/38 patients (7.9 %). The characteristic X-ray manifestations of pulmonary abnormalities were early appearance and fast change, the peak of abnormalities appeared at 2 - 4 days after the onset of sickness, most were completely absorbed within one week. The change of pulmonary lesions was basically in accord with clinical symptoms. Conclusion:The chest X-ray manifestations of HFMD not only could be used to reveal the dynamic changes but were also helpful in the understanding of the course,guiding treatment as well as predicting the prognosis of the disease.
出处 《放射学实践》 北大核心 2009年第7期781-783,共3页 Radiologic Practice
关键词 放射摄影术 手足口病 肺疾病 Hand-foot-mouth disease Radiography Lung diseases
  • 相关文献

参考文献6

二级参考文献14

  • 1沈艳辉,孙培源,贾蕾,蒲永兰,蔡伟.一起幼儿园手足口暴发的调查分析[J].疾病监测,2006,21(4):200-202. 被引量:9
  • 2班弟,陈莉,张国明,温念平.一起学校手足口病暴发的调查报告[J].疾病监测,2006,21(6):334-334. 被引量:27
  • 3蒋心华 潘孝彰 等.现代感染病学[M].上海:上海医科大学出版社,1998.642-656.
  • 4薛凤举.中国疾病预防与控制指南[M].华夏出版社,2000.375-379.
  • 5[2]Melnick JL.Enterovirus type 71 infections:a varied clinical pattern sometimes mimicking paralytic poliomyelitis[J].Rev Infect Dis,1984,6 Suppl 2:S387-390.
  • 6[3]Shindarov LM,Chumakov MP,Voroshilova MK,et al.Epidemiological,clinical,and pathomorphological characteristics of epidemic poliomyelitis-like disease caused by enterovirus 71[J].J Hyg Epidemiol Microbiol Immunol,1979,23(3):284-295.
  • 7[4]Gilbert GL,Dickson KE,Waters MJ,et al.Outbreak of enterovirus 71 infection in Victoria,Australia,with a high incidence of neurologic involvement[J].Pediatr Infect Dis J,1988,7(7):484-488.
  • 8[5]McMinn P,Stratov I,Nagarajan L,et al.Neurological manifestations of enterovirus 71 infection in children during an outbreak of hand,foot,and mouth disease in Western Australia[J].Clin Infect Dis,2001,32(2):236-242.
  • 9[6]Hagiwara A,Tagaya I,Yoneyama T.Epidemic of hand,foot and mouth disease associated with enterovirus 71 infection[J].Intervirology,1978,9(1):60-63.
  • 10[7]Ishimaru Y,Nakano S,Yamaoka K,et al.Outbreaks of hand,foot,and mouth disease by enterovirus 71[J].High incidence of complication disorders of central nervous system.Arch Dis Child,1980,55(8):583-588.

共引文献651

同被引文献41

引证文献8

二级引证文献4

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部