Radiological features of pneumonia in children with hypoxic-ischemic and traumatic CNS injuries

Abstract

The most common complication of lung disease in children with hypoxic-ischemic and traumatic lesions of the central nervous system is pneumonia. Methods. To clarify radiological features of pneumonia in children with hypoxic-ischemic and traumatic lesions of the central nervous system (CNS) were studied chest X-ray (CXR) of 127 children (71 boys and 56 girls) with a diagnosis of hypoxic-ischemic and traumatic CNS lesion. Results. In the examined patients usually observed focal (63,8±3,5 %) and segmental pneumonia (36,8±4,4 %), that has its characteristic features on chest X-rays. Premature infants with hypoxic-ischemic lesions of the central nervous system has higher frequency of pneumonia (61,4 5,9 %) then term children’s with traumatic lesions of the central nervous system – 38,6±4,5 % of cases. Conclusions. X-ray method of research is leading in diagnostics of pneumonia in children with hypoxic-ischemic and traumatic CNS lesion. It allows to establishing the nature of the pathological process, its features, degree distribution and dynamics and effectiveness of the treatment. In premature infants dominated focal pneumonia, in term children – segmental. Development of segmental pneumonia on the background of aspiration syndrome is more characteristic for mature infants