艾滋病胸部病变的影像学表现  

Imaging Diagnosis of Chest Damage in Patients with AIDS

作　　者：王东[1] 李智传 刁胜林[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001 [2]湛江市港湾医院,广东湛江524008

出　　处：《实用医技杂志》2005年第01A期14-16,共3页Journal of Practical Medical Techniques

摘　　要：目的 :探讨艾滋病病人胸部病变的 X线及 CT表现。方法 :收集经临床确诊的艾滋病病人胸部 X线及CT照片 14例 ,分析其病变的影像学表现。结果 :本病的胸部影像表现为单纯肺纹理增多 1例 ;斑片、斑点状浸润性病灶 5例 ;弥漫肺间质、小叶改变 5例 ;胸内肿块结节病灶 4例 ;空洞病灶 3例 ;胸腔积液 4例、气胸 1例。结论 :艾滋病胸部病变本身影像表现无特异性 ,影像学所反映的主要是由胸部机遇性感染和 /或与 AIDS相关的恶性肿瘤所致 ,可以多种影像表现同时并存 ,影像学对鉴别艾滋病胸部改变的类型有较大的诊断意义。Objective To discuss the manifestation of X-ray combined with CT of chest diseases in AIDS patients.Methods Collected 14 AIDS cases of radiological information with positive signs in chest. All cases were proved by clinic.Results One patient only showed more lung markings than normal. Five cases could be seen lobular infiltration looked like bloth and patch. Five cases were changed diffuse in pulmonary interstitial and lobule. Four presented as tumors and tubercles, cavum in 3 cases. Four patients got pleural effusion while one case displayed pheumothorax.Conclusions AIDS itself has no exact character in radiological change. AIDS patients suffer from infection by chance and/or malignant tumor affiliated with HIV can show the pathology in radiological examination. The potential causes of the diseases can be differentiated by X-ray combined with CT.

关 键 词：艾滋病 胸部 影像诊断 

分 类 号：R512.91[医药卫生—内科学]