疟疾性肺部改变27例X线表现  

Pulmonary X-ray finding in malaria patients: a report of 27 cases

作　　者：许如刚[1] 裴新平[1] 张满赐[1] 曾凡本[1] 李长喜[2] 

机构地区：[1]解放军第15医院放射科,新疆乌苏833000 [2]解放军第11医院放射科

出　　处：《西北国防医学杂志》2009年第4期268-270,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的：探讨被确诊疟疾病例肺部改变的X线表现，提高对本病的认识。方法：搜集27例临床有发热咳嗽咳痰，末梢血涂片找到疟原虫病例，回顾性分析胸部平片肺部改变的X线表现。结果：肺纹理增重模糊14例，沿纹理散在点片状模糊阴影者8例，肺部节段性实变者3例，大叶性实变者2例。抗疟治疗后5～10d复查，肺部病灶大部分吸收。结论：根据病情的轻重肺部X表现呈多样性，大部分呈支气管炎性和间质性改变，严重者可表现为小叶性肺炎、节段性肺炎和大叶性肺炎。抗疟治疗后短时间内肺部病灶吸收快。Objective：To investigate the X -ray appearance of lungs in the patients with malaria to improve the knowledge of malaria. Methods： Twenty- seven malaria patients with fever, cough and expectoration were retrospectively studied. The malaria parasites in peripheral blood smear were all found in the 27 patients. The chest X - ray films were analyzed. Results ： The lung marking became fuzzy in 14 cases, scattered spot and plaque - like shadows were found along lung marking in 8 cases, segmental consolidation in 3 cases and lobar consolidation in 2 cases. After 5 to 10 days of anti - malaria treatment, most focuses of infection in lungs were absorbed. Conclusion：The changes of X - ray appearance of lung varied with the severity of malaria. In most cases, they were bronchitis or interstitial changes. The lobular, segmental or lobar pneumonia was found in the severe malaria patients. The lung lesions were absorbed quickly after anti -malaria treatment.

关 键 词：疟疾 肺炎 X射线摄影术 

分 类 号：R531.3[医药卫生—内科学] R816.4[医药卫生—临床医学]