医学信息2025，Vol.38Issue(7)：87-91,5.DOI:10.3969/j.issn.1006-1959.2025.07.015
儿童下呼吸道感染的病原体分布及胸部影像学特点分析
Analysis of Pathogen Distribution and Chest Imaging Characteristics of Lower Respiratory Tract Infection in Children
摘要
Abstract
Objective To analyze the pathogen distribution and imaging characteristics of children with lower respiratory tract infection(LRTI)in a tertiary hospital in Zibo City,and to provide evidence for the diagnosis and treatment of LRTI in children in this region.Methods The pathogen nucleic acid test results and chest imaging results of 215 children with LRTI hospitalized in Zibo First Hospital from December 2021 to December 2023 were retrospectively analyzed.Results Mycoplasma pneumoniae infection was the main pathogen in 215 children with LRTI.Chest CT imaging showed unilateral pulmonary lobe lesions,patchy high-density shadows,mediastinal and hilar lymph node enlargement.The proportion of unilateral pulmonary lobe lesions in the lesion distribution of Mycoplasma pneumoniae infection group and Mycoplasma pneumoniae mixed infection group was higher than that of other pathogen infection group,and the difference was statistically significant(P<0.05).The proportion of large solid shadows in the imaging findings of the mycoplasma pneumoniae infection group and the mycoplasma pneumoniae mixed infection group was higher than that of the other pathogen infection group,and the difference was statistically significant(P<0.05).The proportion of mediastinal and hilar lymphadenopathy and pleural effusion in Mycoplasma pneumoniae infection group and Mycoplasma pneumoniae mixed infection group was higher than that in other pathogen infection groups,and the difference was statistically significant(P<0.05).Conclusion Mycoplasma pneumoniae is the main pathogen of LRTI in children in this region.Compared with chest CT imaging characteristics of Mycoplasma pneumoniae infection and other pathogen infection,unilateral pulmonary lobe lesions,large consolidation and extrapulmonary involvement are more common.关键词
儿童/下呼吸道感染/病原体/胸部影像学Key words
Children/Lower respiratory tract infection/Pathogens/Chest imaging分类
医药卫生引用本文复制引用
何兵,王君君,张迪,范艳娇,吕承秀..儿童下呼吸道感染的病原体分布及胸部影像学特点分析[J].医学信息,2025,38(7):87-91,5.基金项目
山东省潍坊医学院附属医院科技发展项目(编号:2023FYM062) （编号:2023FYM062）
