临床儿科杂志 ›› 2017, Vol. 35 ›› Issue (8): 585-.doi: 10.3969/j.issn.1000-3606.2017.08.006

• 呼吸系统疾病专栏 • 上一篇    下一篇

98 例儿童肺部结节影病因及临床分析

李姣, 犹景贻, 彭露, 胡静, 高娅, 舒畅   

  1. 重庆医科大学附属儿童医院 儿童发育疾病研究教育部重点实验室 儿童发育重大疾病国家国际科技合作基地 儿科学重庆市重点实验室( 重庆 400014 )
  • 收稿日期:2017-08-15 出版日期:2017-08-15 发布日期:2017-08-15
  • 通讯作者: 舒畅  E-mail:maggiechangshu@126 .com

Clinical characteristics and etiological analysis of lung nodules in 98 children 

 LI Jiao, YOU Jingyi, PENG Lu, HU Jing, GAO Ya, SHU Chang   

  1. Children’s Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics. Chongqing 400014, China
  • Received:2017-08-15 Online:2017-08-15 Published:2017-08-15

摘要: 目的 探讨儿童胸部影像学肺部结节影病因组成及临床特点。方法 回顾分析2014年1月至2016年9月住 院并发现肺部结节影患儿的临床及影像学资料。结果 98例患儿中男58例、女40例,年龄0.2~14.8岁。临床诊断肺部感 染41例(41.8%),包括肺结核15例、肺部真菌感染13例,肺炎11例、肺吸虫2例;肺转移瘤28例(28.6%);多发性肺动静 脉瘘1例;肺挫裂伤1例;病因不明27例(27.6%)。结论 肺部结节影病因复杂,以感染性疾病多见,其次为肺转移瘤;肺 活检病理检查结果为诊断金标准。

Abstract: Objective To analyze the clinical features and common etiology of lung nodules in children. Methods  The etiology, diagnosis, radiological features from 98 hospitalized children of lung nodules were analyzed. Results Of them, 58 were male and 40 were female aged from 0.2 years old to 14.8 years old. Pulmonary infection were found in 41 cases (41.8%) including tuberculosis in 15 cases (15.3%), pulmonary fungal infection in 13 cases (13.3%), pneumonia in 11 cases (11.2%), lung trematode in 2 cases (2.0%). Pulmonary metastases were found in 28 cases (28.6%), multiple pulmonary arteriovenous fistula in 1 case (1.0%), and pulmonary contusion in 1 case (1.0%) and unknown etiology in 27 cases (27.6%). Conclusions The etiology of lung nodules is complicated, in which infectious diseases are the most commonly seen, followed by pulmonary metastases. Biopsy is the golden standard of diagnosis.