肺出血-肾炎综合征的CT诊断和鉴别诊断价值  

Value of CT in Characterization of Goodpasture＇s Syndrome

作　　者：叶爱华[1] 戴颖钰[1] 胡春洪[1] 

机构地区：[1]苏州大学附属第一医院放射科,江苏苏州215006

出　　处：《中国血液流变学杂志》2011年第3期548-550,共3页Chinese Journal of Hemorheology

摘　　要：目的 探讨肺出血-肾炎综合征的CT表现及其诊断和鉴别诊断价值.方法 回顾性分析经临床肾穿刺活检证实的10 例肺出血-肾炎综合征患者CT图像的特点.结果 在不同的临床阶段,其影像学表现也有着进行性的变化,典型的表现为沿肺门向周围扩散的斑片状阴影,其中4例呈大片云絮状实变影,集中分布于两肺门周围,5例呈点状及腺泡小结节样渗出,小斑片状融合,渗出灶呈花瓣样,1例呈混合型,并可见团块状阴影.10例均出现不同程度的双侧胸腔积液,8例同时合并有心包积液.结论 该病有典型的临床表现及实验室诊断标准,肾穿刺活检更是其确诊的依据,但临床过程凶险,分析其典型的影像学特征对于临床早期诊断和治疗有着重要的价值.Objective To investigate the value of CT in characterization of Goodpasture＇s syndrome. Methods Ten patients suffered from Goodpasture＇s syndrome confirmed by renal biopsy were collected in this series.The clinical symptoms and imaging features were analyzed retrospectively. Results The typical CT images were the patchy shadows spread from hilus pulmonis,4 cases showed pathcy consolidation surrounding the hilus of the lung,5 cases showed spotted and nodular exudativing shadows with mainly fusion trend.The multiple massive lesions were found in the other one,bilateral pleural effusion in 10 cases,and pericardial effusion in 8 cases.Conclusion Typical imaging features provided by CT contribute to the clinical diagnosis and treatment in the early stage.

关 键 词：肺出血 肺出血-肾炎综合征 CT 

分 类 号：R814.42[医药卫生—影像医学与核医学]