艾滋病患者合并肺部机遇性感染的CT影像特征
 |
| 第1页 |
参见附件。
【摘要】目的:探讨HIV/ AIDS 患者肺部机遇性感染CT 表现特点。方法 回顾性分析我院临床及病理检验证实的8例AIDS 患者的CT影像学表现。全部病例均行CT 扫描,部分行HRCT扫描。结果 AIDS 合并卡氏肺囊虫肺炎(PCP)5例,典型表现为双侧肺门旁到中下肺野弥漫对称性分布的网格状影,部分融合成斑片状、结节状影或呈毛磨玻璃样改变。HIV合并肺结核3 例,其中2例为粟粒型结核，一例与普通结核相似。结论 CT检查是AIDS 患者基本的影像学检查方法,能更好地显示病变的部位、形态以及细微病变。双肺毛玻璃影、网状影、碎石路征为艾滋病伴卡氏肺囊虫肺炎(PCP)的特征性表现。
【关键词】艾滋病(获得性免疫缺陷综合征);机遇性感染;卡氏肺囊虫肺炎肺炎;螺旋CT扫描
CT Imaging Featuresof Pulmonary Opportunistic Infection in Patients with AIDS
JIA Shexing , ZHANG Qiang,YANG Fangbo
【Abstract】 Objective To investigate the CT imaging features of lung opportunistic infection in patients with AIDS. Methods A retrospective analysis was made of lung imaging features of 8 cases of AIDS confirmed by clinical and pathological examination from Department of Radiology ，theNo.5 People's Hospitalof PuYang. All patients had complete information on CT,in whichsome cases hadHRCT scanning. Results There were 5 cases of AIDS with pneumocystis carinii pneumonia(PCP) whose typical manifestations showed diffuse symmetrical grid shadow from bilateral pulmonary around to the middle -lower lung field,some of the shadow merging into patching-like and nodular shadow or showing a ground-glass -like change. The imaging manifestations showed pulmonary tuberculosis in 3 cases of HIV . ConclusionCT scanning is a basic AIDS imaging examination,and can better display the lesion site,shape,and subtle lesions. The characteristic features of AIDS-acquired pneumonia associated with PCP are bilateral pulmonary ground-glass shadow,reticular shadow and gravel road sign.
【Keywords】 AIDS;Opportunistic infections;Pneumocystis pneumonia;Spiral CT scan ......
您现在查看是摘要介绍页，详见PDF附件(2793kb)。