恙虫病的影像表现价值分析  

Analysis on the value of imaging finding in scrub typhus

作　　者：廖明朗 唐文才[1] 

机构地区：[1]海南省农垦总局医院影像科,海南省海口市570203

出　　处：《同济大学学报（医学版）》2007年第5期75-77,共3页Journal of Tongji University(Medical Science)

摘　　要：目的探讨恙虫病的影像学资料，评价其诊断价值。方法回顾性分析124例恙虫病的临床及影像学表现。结果符合诊断标准的男72例，女52例，年龄18-65岁（平均32岁），多有野外作业史。常见症状为高热、皮肤焦痂和溃疡、皮疹及淋巴结肿大。实验室检查外菲氏试验阳性，血细胞减少等。影像学表现：胸部异常36%，以肺门阴影增大，肺纹理增多、小斑点状模糊影为常见，少数可有含液面空洞，胸腔积液及脑出血。结论恙虫病诊断主要依靠临床、实验室及流行病学检查，影像诊断为非特异性的，但在判断并发症和辅助诊断上必不可少。Objective To explore the imaging data of Tsutsugamushi, evaluate their diagnostic value. Methods The clinical and imaging findings of 124 cases of scrub typhus, were retrospective analyzed. Results The standard cases include 72 males and 52 females, aged 18 - 65 years（mean aged 32 years）. Most had a history of fieldwork. High fever, skin eschar, ulcer, rashes and lymphadenopathy were mostly presented, Laboratory examination showed decreased peripheral blood count and positive serum OXK agglutination. Abnormal chest imaging findings were seen in 36% patients, mostly manifested as pulmonary hilar enlargement, increased lung markings, obscure patch or punctuated shadows. And liquid cavity, thoracic cavity effusion, cerebral hemorrhage could be found in a small cases. Conclusion The diagnosis of scrub typhus is mainly based on the clinical data, laboratory tests and epidemic investigation. Imaging findings are non- specific but helpful for judging complications. Imaging examination can be served as a necessary adjunctive diagnostic method.

关 键 词：恙虫病 影像学 诊断 

分 类 号：R445[医药卫生—影像医学与核医学]