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目的:探讨艾滋病合并肺结核病胸部CT特征及其诊断价值。方法:分析20例经省疾控中心经免疫印迹法(WB法)检出人体免疫缺陷病毒(HIV)抗体阳性的艾滋病合并肺结核的胸部CT特征。结果:本组病例中,17例伴纵隔淋巴结肿大,2例发生在结核的好发部位,4例伴有小空洞,心包膜略厚2例,8例少量心包积液,8例双侧少量胸腔积液,5例左侧少量胸腔积液,4例右侧少量积液。2例双肺呈弥漫性病变,7例累及一个肺段。结论:AIDS合并肺结核的CT表现有一定的特点及其诊断价值,但不具有特征性,确诊仍需依靠痰检。
Objective: To investigate the CT features of chest X-ray in patients with AIDS complicated with pulmonary tuberculosis and its diagnostic value. Methods: CT features of 20 patients with HIV-positive pulmonary tuberculosis who were positive by human immunodeficiency virus (HIV) antibody were detected by immunoblotting (WB) in 20 provincial CDC centers. Results: In this group of patients, 17 cases had enlarged mediastinal lymph nodes, 2 cases occurred in the predilection site of tuberculosis, 4 cases had small cavities, slightly thick pericardium in 2 cases, 8 cases of small pericardial effusion and 8 cases of double A small amount of pleural effusion, a small amount of pleural effusion on the left side in 5 cases and a small amount of effusion on the right side in 4 cases. Two cases of diffuse lung lesions, 7 cases involving a lung segment. Conclusion: The CT findings of AIDS complicated with pulmonary tuberculosis have certain characteristics and diagnostic value, but they are not characteristic. The diagnosis is still dependent on sputum examination.