克雷伯杆菌肺炎的影像探讨(附89例分析)  

Radiologic discussion on Klebsiella pneumonia in 89 cases

作　　者：张春生[1] 李学军[1] 邰韩珍 王国华[1] 齐石[1] 

机构地区：[1]北京丰台医院放射科,100070

出　　处：《影像诊断与介入放射学》2007年第6期261-263,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的评价影像学在克雷伯杆菌肺炎的诊断方面的价值。方法回顾性分析89例临床明确肺炎克雷伯杆菌肺炎患者的临床与X线和CT资料。结果肺炎克雷伯杆菌肺炎好发于老年人(平均70.42岁)。肺炎克雷伯杆菌肺炎影像表现①肺纹理增多31例,②35例单病灶多累及右上肺叶或右下肺,累及右上肺叶胸X线呈"叶间裂下坠",CT表现"钟乳石征",③23例多病灶累及多肺叶呈弥漫分布较其他肺炎清晰的大片状蜂窝状。或伴有液化坏死。结论肺炎克雷伯杆菌肺炎影像表现复杂较难做出诊断,但结合临床与影像学表现对部分典型病例可作出正确诊断。Objective To evaluate the diagnostic value of radiology and CT scanning in Klebsiella pneumoniae. Methods The clinical, radiologic data and CT films of 89 patients with Klebsiella pneumoniae were retrospectively analyzed, Results Three types of chest X-ray and.computed tomography （CT） findings for Klebsiella pneumonia were found. （1）lncreased pulmonary markings occured in 31 cases. （2）35 cases with single lesions showed frequently involvement in the upper or lower lobe of right lung. When lesion was involved in the upper lobe, it developed oblique fissure shift down in radiology films and represent stalactitic symptom in CT imagining. （3）In 23 cases with Klebsiella pneumonia showed typical cavitary lung abscesses. Conclusion The radiologic findings of Klebsiella pneumoniae were complicated and hard to make a good diagnosis. Combined the imaging features with the clinic data, sometimes, we can get the right diagnosis in some cases with typical Klebsiella pneumoniae.

关 键 词：克雷伯氏菌感染 肺炎 体层摄影术 X线计算机 

分 类 号：R516[医药卫生—内科学]