人禽流感与SARS的肺部X线表现的对比分析  

Comparative analysis of chest radiological findings between avian human influenza and SARS

作　　者：蔡名金[1] 麦伟文[1] 冼建兴[1] 魏立萍[2] 张家云[1] 林文建[1] 陈金城[3] 

机构地区：[1]广州医学院第三附属医院放射科,510150 [2]广州医学院第三附属医院呼吸内科,510150 [3]广州暨南大学附属第一医院医学影像中心

出　　处：《影像诊断与介入放射学》2008年第3期105-107,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨人禽流感死亡病例的肺部临床X表现。方法回顾性分析本院2006年2月确诊的广东省首例人禽流感死亡病例的临床与肺部X线表现,并与本院2003年16例资料完整、临床确诊为SARS中的3例死亡患者的影像学表现做初步比较。结果本例人禽流感的肺部X线表现为左肺下叶大片状肺泡实变影,很快发展为ARDS而死亡,缺乏特异性X线征像,确诊要靠病原学-血清学阳性结果支持;但它没有SARS的肺部同性质病灶短期内病灶增大、增多等特点。结论本例人禽流感未发现病灶在支气管内播散的证据;在大城市居住无明显与病死禽类接触史的患者发生人禽流感的事实,要引起高度警惕。Objective To study the chest radiological findings of a mortal avian human influenza case. Methods One patient in our hospital was proved to be infected avian human influenza in Guangdong province on March 1, 2006. The Clinical appearances and chest radiological findings of this case were retrospectively analyzed and compared with that of 3 mortal SARS cases out of 16 cases in 2003. Results Large consolidated areas in left lower lobe was showed in pulmonary radiological findings of this patient and soon developed into ARDS （adult respiratory distress syndrome）. However, the pulmonary radiological findings had no characteristic. Characteristics of soaring size and number during short term appeared in SARS instead of avian human influenza. Final diagnosis was up to the etiology and serology examination. Conclusion Bronchial dissemination was not observed in this avian human influenza case. Pay attention to the avian human influenza in spite of no history of contract with sick or dead poultry in large city.

关 键 词：人禽流感 严重急性呼吸综合征 放射摄影技术 

分 类 号：R816.4[医药卫生—放射医学]