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目的:提高艾滋病机遇性胸部感染的诊断水平。材料和方法:回顾性分析艾滋病机遇性胸部感染50例的X线胸片及相关临床资料。结果:肺结核2 1例( 4 2 % ) ,片状融合的渗出性病灶1 3例,弥漫性粟粒影6例;胸内淋巴结肿大9例;卡氏肺囊虫肺炎1 6例( 32 % ) ,双侧肺门及中下肺野可见网状、小点状影,片絮状或斑片状影1 0例,两肺弥漫性或局限性磨玻璃影8例;细菌性感染8例( 1 6 % ) ,片状实变影7例,肺结块影并空洞1例;真菌性感染5例( 1 0 % ) ,弥漫粟粒样小结节影3例,肺门淋巴结肿大1例。结论:艾滋病机遇性胸部感染的X线表现缺乏特征性,诊断须结合临床与实验室检查,并注意发病率较高的肺结核与卡氏肺囊虫肺炎。
Objective: To improve the diagnosis of opportunistic thoracic infection in AIDS. MATERIALS AND METHODS: Retrospective analysis of 50 cases of chest X-ray of AIDS with opportunistic chest infection and related clinical data. Results: Twenty-one cases (42%) of pulmonary tuberculosis, 13 exudative lesions of platelet fusion, 6 cases of diffuse miliary shadow, 9 cases of intrathoracic lymphadenopathy, 16 cases of Pneumocystis carinii pneumonia (32 %), Bilateral hilar and the middle and lower lung fields can be seen in the network, dot-like shadow, patchy or patchy film 10 cases, diffuse or limited two-lung ground glass in 8 cases; bacterial infection 8 Cases (16%), lamellar consolidation in 7 cases, pulmonary clumps and empty in 1 case; fungal infection in 5 cases (10%), diffuse miliary nodules in 3 cases, hilar lymph node enlargement 1 case. Conclusion: X-ray manifestations of opportunistic thoracic infection in HIV / AIDS are lacking in characteristics. Diagnosis should be combined with clinical and laboratory tests. Pay attention to the high incidence of pulmonary tuberculosis and Pneumocystis carinii pneumonia.