恶性疟疾肺部X线征象(附86例分析)

• 作 者: 宋晓彬 景晓红 柏春梅
• 机 构: 西安市第一医院CT室,陕西省医学高等专科学校,西安交通大学第二医院内科 陕西西安710003
• 出 处: 实用放射学杂志
• 发表日期: 2004年07期
• 关键词: 胸部 恶性疟疾 X线摄影

目的　观察恶性疟疾肺部X线的改变。方法　对确诊为恶性疟疾伴有发热呼吸道症状者共 86例行常规胸部X线检查 ,观察肺部改变。结果　 86例恶性疟疾胸片 ,5 8例有异常改变 ,其中肺纹理增粗 3 3例 ,粟粒状、小片状、大片状改变 2 4例 ,多发球形病灶 1例。结论　恶性疟疾肺部X线改变呈多样性 ,但其共同特征为多分布于肺的外带和基底部 ,这与疟原虫致血液动力学异常以及受累组织病理学改变有关

Objective To observe the pulmonary X-ray changes of malaria. Methods A total of 86 routine chest X-ray examinations of 86 cases diagnosed as falciparum malaria accompanied with fever respiratory symptoms were performed to observe the lung changes. Results Of the 86 cases of malignant malaria, there were abnormal changes in 58 cases, including 33 cases of lung texture thickening, 24 cases of miliary, small patchy, large patchy changes and 1 case of multiple spherical lesions. Conclusions The pulmonary X-ray changes of malignant malaria are diverse, but their common features are mostly distributed in the outer and basal parts of the lung, which is related to the hemodynamic abnormalities caused by malaria parasite and the pathological changes of the affected tissues