流行性出血热与肺出血型“钩体”病的胸部X线鉴别诊断  

The X-ray Differential Diagnosis of Thoracic Epidermic Hemorrhagic Fever and Pulmonary Hemorrhagic Leptospirosis

作　　者：陈嘉宾[1] 毛启玙 

机构地区：[1]遵义地区医院放射科

出　　处：《实用放射学杂志》1990年第1期16-18,共3页Journal of Practical Radiology

摘　　要：本文就流行性出血热(EHF)62例、钩体59例的连续观察胸片作回顾性复习;并讨论了病理基础。发现EHF的胸部X线改变主要为充血 水肿、滲出伴出血的小斑片状模糊阴影,而出血性钩体病(PHL)则是毛细血管点状出血灶所投影的粟粒样、或融合的结节样、斑片状浓密阴影。其肺野分布是外带多(称外八字征)、右肺多、右上肺多的特征性“三多”X线表现。根据这些X线特点我们能对EHF及PHL作出鉴别诊断。In this article, a retrospective analysis of chest X-ray appearance of 62 consecutive cases of Epidermic hemorrhagic fever in contrast with 59 consecutive cases of pnlmonary hemorrhagic leptospirosis was made, the pathological bases were discussed. The authors found the chest X-ray appearances of EHF were hazy patches and mottlings caused by pulmonary congestion,edema, exudation accompanying with hemorrhage. These shadows distributed in middle and linner regions of both middle and lower lung fields. While the chest roentgen manifestations of PHL were miliary or confluent nodular or patch shadows, the distributions of which possess characteristic 'three prominences', e. g: 1. prominences in outer region (the so called Chinese eight '八' word sign), 2. prominence ha right lung, and. 3. prominenc in right upper field. Depending on these rentgen features, w. can differentiate EHF from PHL radiologiclly.

关 键 词：出血热 钩体病 胸部 X线 诊断 

分 类 号：R816.4[医药卫生—放射医学]