论文部分内容阅读
目的研究分析CT诊断艾滋病合并肺孢子菌肺炎的影像特征。方法 76例艾滋病合并肺孢子菌肺炎患者,回顾探析其CT检查的临床影像特征。结果 CT扫描显示双肺磨玻璃状、云雾样改变者59例,占77.63%;双肺表现磨玻璃影伴有网状、条索状影者25例,占32.89%;碎石路征者19例,占25.0%;合并淋巴结肿大、胸腔积液、结节灶、局限性肺气肿、散在斑片影者8例,占10.53%。抗感染合理治疗1~2周,病变没有显著吸收,其中38例增大、增多,改为抗PCP药物治疗,然后反复复查;56例患者病灶减少、吸收,20例无显著改变,10例患者病情恶化。结论艾滋病合并肺孢子菌肺炎患者的CT影像特征主要是碎石路征、网状磨玻璃影、磨玻璃状改变、双肺云雾样,对临床诊断具有重要的参考价值。
Objective To analyze and analyze the imaging features of CT diagnosis of Pneumocystis pneumonia. Methods A total of 76 patients with AIDS complicated with Pneumocystis pneumonia were retrospectively analyzed. The clinical features of the CT examination were retrospectively analyzed. Results CT scans showed that both lungs were glassy and the cloud-like changes were found in 59 cases (77.63%). There were 25 cases (32.89% Cases, accounting for 25.0%; with lymphadenopathy, pleural effusion, nodules, localized emphysema, patchy shadow in 8 cases, accounting for 10.53%. Anti-infection reasonable treatment of 1 to 2 weeks, the lesions did not significantly absorbed, of which 38 cases increased, increased to anti-PCP drug treatment, and then repeated review; 56 patients reduced lesions, absorption, 20 cases no significant change in 10 patients The condition worsened. Conclusion CT features of patients with pneumococcal pneumonia complicated with pneumococcal pneumonia are mainly gravel road signs, reticular glass shadows, ground glassy changes and double lung cloud-like signs, which have important reference value for clinical diagnosis.