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目的了解小儿恶性疟疾肺部X线的表现及特点。方法收集临床确诊的恶性疟疾小儿病例共137例,观察其肺部X线改变。结果 137例恶性疟疾胸片,113例有异常改变,其中肺纹理增粗54例,肺纹理增粗合并小斑片状模糊影39例,大片状实变15例,两肺门旁对称翼状阴影5例。结论小儿恶性疟疾肺部X线改变呈多样性,好发于肺下野中外带,抗疟治疗吸收快,疟疾患者应常规行胸部X线检查。
Objective To understand the manifestations and characteristics of pulmonary X-ray in children with falciparum malaria. Methods A total of 137 pediatric patients with clinically confirmed cases of falciparum malaria were collected and their pulmonary X-ray changes were observed. Results 137 cases of malignant malaria chest X-ray, 113 cases of abnormal changes, including pulmonary thickening in 54 cases, pulmonary thickening combined with small patchy blur in 39 cases, large real consolidation in 15 cases, bilateral symmetrical wing Shadow 5 cases. Conclusions The pulmonary X-ray changes in children with severe malaria are diverse. They occur frequently in the middle and lower lobe of the lung. Anti-malarial therapy is fast absorbed. Patients with malaria should undergo routine chest X-ray examination.