肾移植术后巨细胞病毒肺炎的CT表现  

The CT appearances of cytomegalovirus pneumonitis after kidney transplant

作　　者：熊巨新 陈境弟[2] 

机构地区：[1]广东省东莞市石龙人民医院放射科,523326 [2]广州中山大学附属第一医院放射科

出　　处：《中国CT和MRI杂志》2008年第4期29-31,共3页Chinese Journal of CT and MRI

摘　　要：目的分析肾移植术后巨细胞病毒(CMV)肺炎的CT表现,提高对该病的诊断水平。方法回顾性分析7例肾移植术后CMV肺炎的CT表现,5例行胸部CT平扫,2例行CT平扫以及增强扫描。所有的病例均经临床证实。结果最常见的CT表现为磨玻璃样改变,共6例;4例出现实变影;3例出现多发性小结节样影;4例并发少量胸腔积液,小叶间隔增厚3例,支气管扩张1例。结论肾移植术后CMV肺炎的CT表现有一定特征性。Objective To improve the CT diagnosis in cytomegalovirus pneumonia after kidney transplant. Methods The CT appearances of 7 patients with cytomegalovirus prceumonitis after kidney transplant were retrospectively analyzed. 5 patients were performed CT plain scan, and 2 patients were performed CT plain scan and enhanced scan. Results The most frequent CT appearance was ground glass opacity which was seen in 6 cases. Consolidation was seen in 3 cases and small multiple nodules in 4 cases. The other CT manifestations included pleural effusion （n=4）, thickened interlobular （n=3） and bronchiectasis （n=1）. Conclusion There are characteristic features of cytomegalovirus pneumonitis after kidney transplant on CT. CT plays an important role in the diagnosis of the disease.

关 键 词：巨细胞病毒 肺炎 肾移植 体层摄影术 X线计算机 

分 类 号：R563.1[医药卫生—呼吸系统] R445.2[医药卫生—内科学]