卡氏肺囊虫肺炎非典型CT表现回顾分析  

Retrospective Analysis of the Aptical CT Manifestation of Pneumocystis Carinii

作　　者：罗鹰[1] 陈首名[1] 何志兵[1] 赵佰川[1] 左斌[1] 马方伟[1] 李光纪[1] 

机构地区：[1]攀枝花学院附属医院CT室,四川攀枝花617000

出　　处：《西南军医》2009年第1期13-14,共2页Journal of Military Surgeon in Southwest China

摘　　要：目的回顾分析艾滋病患者合并卡氏肺囊虫肺炎的非典型CT表现。方法对已确诊的4例艾滋病合并卡氏肺囊虫肺炎的CT表现进行回顾性分析。结果2例双肺散在分布斑片状、结节样影,部份呈肿块样改变,以肺野外带明显,病灶边缘欠清晰,肺门及纵隔无明显异常,肺间质改变不明显;1例仅见右下肺野片状实变影,1例双肺野见散在纤维化灶,近右肺门区片状影。与典型卡氏肺囊虫肺炎CT表现差异较大。结论艾滋病合并卡氏肺囊虫肺炎的患者CT表现复杂多样,诊断时应结合相关检查进行仔细分析。Objective To analyze the aptical CT manifestation of pneumocystis carinii of the patients with AIDS retrospectively. Methods A retrospective analysis was made to the CT images of 4 confirmed cases with AIDS complicated with pneumocystis carinii. Results 2 cases showed dotted patchy and nodular opacities in both lungs, some of which had mass - like changes, the peripheral zones of lungs were clearly shown while the edges were not ; there were no obvious abnormities in hilus and mediastinum and no obvious changes of lung strome ; 1 case showed consolidation in the right lower lung and 1 case showed dotter fibrosis in the lung field and patchy shadow close to the right hilum; the CT manifestations of the 4 cases were significantly difderent from those of the typitcal manifestation of pneumocystis carinii. Conclusions The CT manifestation of the cases with AIDS and pneumocystis carinii are complicated and various and careful analysis should be made when diagnozing in consideration of other correlated examinations.

关 键 词：艾滋病 卡氏肺囊虫 肺炎 X线体层摄影 

分 类 号：R563.1[医药卫生—呼吸系统]