CHEST-X-RAY APPEARANCES IN PNEUMONIA AND BRONCHIOLITIS - CORRELATION TO VIROLOGICAL DIAGNOSIS AND SECRETORY BACTERIAL FINDINGS
CHEST-X-RAY APPEARANCES IN PNEUMONIA AND BRONCHIOLITIS - CORRELATION TO VIROLOGICAL DIAGNOSIS AND SECRETORY BACTERIAL FINDINGS
复制标题
DOI：
10.1111/j.1651-2227.1990.tb11442.x
复制
发表时间：
1990-02-01
期刊：
影响因子：
--
通讯作者：
JENSEN, A
中科院分区：
文献类型：
--
作者：
FRIIS, B;EIKEN, M;JENSEN, A
128例临床肺炎和毛细支气管炎的婴儿和7岁以下儿童的胸部x线检查结果与病毒诊断、年龄和分泌性细菌检查结果有关。他们属于在引入快速病毒学诊断方法时进行检查的队列。76名儿童通过鼻咽分泌物检查和/或血清学方法诊断为病毒感染。其中37名儿童被归类为呼吸道中有重要致病菌。比较四组：病毒感染患儿分泌物中有无细菌及相应的病毒阴性组。与其他组相比，病毒阳性/细菌阴性组的x射线检查明显更正常。肺泡性肺炎表现为大叶性或节段性实变（“大叶性”肺炎），在病毒阳性组和病毒阴性组中观察到的频率相同，且与细菌的发现无关。但在呼吸道合胞病毒（RSV）感染的6月龄以下儿童中，与年龄较大的RSV儿童相比，更常观察到这种情况。分散肺泡浸润（“支气管肺炎”）多见于病毒阳性组。间质性支周炎常同时出现在6个月以上的儿童中。除细菌阴性组胸片正常频率较高外，气管分泌物有细菌组和无细菌组的x线表现无显著差异。
Chest X-ray findings were related to virus diagnosis, age and secretory bacterial findings in 128 infants and children under 7 years of age with clinical pneumonia and bronchiolitis. They belong to a cohort examined in connection with the introduction of rapid methods for virological diagnosis. Seventy-six children had a virus infection diagnosed by examination of nasopharyngeal secretion and/or by serological methods. Thirty-seven of these children were classified as having pathogenic bacteria of importance in the respiratory tract. Four groups were compared: virus infected children with or without bacteria in the secretion and the corresponding virus negative groups. The X-rays were normal significantly more often in the virus positive/bacteria negative group compared with the other groups. Alveolar pneumonia appearing as lobar or segmental consolidations ("lobar" pneumonia) was observed with equal frequency and without relation to bacterial findings in the virus positive and the virus negative groups. But it was more often observed in the respiratory syncytial virus (RSV) infected children under 6 months of age compared with the older RSV children. In comparison disperse alveolar infiltrations ("bronchopneumonia") mostly appeared in the virus positive group. Interstital peribronchitis were often present together in children over 6 months of age. There was no significant difference in the X-ray appearances in the groups with and without bacterial findings in the tracheal secretion except for a higher frequency of normal chest radiographs in the bacteria negative group.