尘肺合并结核离体肺脏的影像—病理对照分析  

Image of Pneumoconiosis Combined with Tuberculosis in Isolated Lung:Comparison with Pathology

作　　者：关砚生[1] 马大庆[2] 杨静[2] 张岩松[1] 于咏梅[3] 

机构地区：[1]国家安全生产监督管理总局职业安全卫生研究所,北京市102300 [2]首都医科大学北京附属友谊医院 [3]北京华信医院

出　　处：《职业与健康》2009年第5期472-473,共2页Occupation and Health

基　　金：中国尘肺病治疗基金会资助项目(煤工尘肺合并症的CT-病理对照研究;编号018)

摘　　要：目的分析尘肺合并结核的影像—病理表现。方法7例尘肺合并肺结核的尸检离体肺脏采用Heitzman法固定、充气干燥制成充气固定肺标本,行常规螺旋扫描和高分辨CT(HRCT)扫描,选择适于分析的肺组织,制作组织学切片。结果7例尘肺结核中2例为结合型,5例为分离型;7例均有结核结节,3例表现为干酪性肺炎,2例有干酪性坏死,1例有结核性胸膜炎。结论尘肺合并肺结核,尘肺结核类型以分离型为主,结核病变以结核结节为主。[ Objective] To analyze the pathology of image of pneumoconiosis combined with tuberculosis. [ Methods] 7 isolated lungs were available from autopsy of patients with tuberculopneumoconiosis. The specimens were fixed and inflated by Heitzman＇s method, and undergone conventional spiral scan and high-resolution CT （HRCT） scan. Histological sections were performed on selected areas of these lung specimens. [ Results] Of 7 tuberculopneumoconiosis, 2 were coalescent, the other 5 were dissociative, and the all 7 cases had tuberculosis nodules, 3 had caseous pneumonia, 2 had caseous necrosis, 1 had tuberculosis pleurisy. [ Conclusion] In pneumoconiosis combined with tuberculosis cases, the dissociative types and tuberculosis nodules were preponderant.

关 键 词：尘肺结核 离体肺脏 病理 HRCT 

分 类 号：R135.2[医药卫生—劳动卫生]