毒品依赖者的X线及CT的肺部改变  

The Imageology Changes of Lungs in Drug Addicts

作　　者：危成波[1] 梁钊明[1] 

机构地区：[1]中山市小榄人民医院放射科,广东中山528415

出　　处：《医学信息》2012年第12期239-239,共1页Journal of Medical Information

摘　　要：目的探讨毒品依赖者的X线及CT的肺部改变。方法回顾分析21例毒品依赖者继发肺部病变患者的临床与影像学资料。尿海洛因试验阳性21例，血培养金黄色葡萄球菌阳性15例，肺炎链球菌2例，痰结核杆菌阳性2例，21例全部摄有胸片。结果胸片表现为两肺多发结节状、片状模糊影14例，单侧或双侧空洞9例，其中多房空洞8例，肺气囊7例，胸腔积液9例，肺水肿2例，肺结核2例，气胸1例。结论毒品依赖者的肺部感染性病变以金黄色葡萄球菌肺炎为主，对青壮年金黄色葡萄球菌肺炎患者或肺部多发小空洞和肺气囊病变，而身体其它部位无感染灶或伴有胸腔积液、肺水肿等肺部疾患时，应将静脉注射海洛因感染纳入重要的鉴别诊断，以便及早明确诊断和治疗。Objective To research the imageology changes of lungs in Drug addicts Methods Clinical imageology data were analyzed retrospectively in 21 heroin toxic patients with secondary pathologic changes in lungs.21patients with heroin test positive in urine,15 patients with staphylococcus positive in bemocuhure,2 case with streptococcus pneumoniae,2 caese with bacillus tuberculosis positive in sputum ,all 21 patients with sternite. Results 14patients with multiple nodules and lamellar ambiguity shadow, 9 wth cavity in one or two side and 8 with multiple chamber cavity among them. 7 pulmonary aerocyst,9 with thoracic cavity fluidify,2cases with edema of lung,2cases with pulmonary tuberculosis, lcase with aerothorax. Conclusion staphylococcus pneumonia take main role in pulmonary infection changes for heroin toxic patients, youth patients with staphylococcus pneumonia or multiple small cavity or pulmonary aerocyst without infection focus in other part of body or cavity fluidify or edema of lung and so on should be considered to be caused by heroin ir@ction ,so that diagnosis and treatment can be done in earle time.

关 键 词：毒品依赖 肺部疾病 金黄色葡萄球菌肺炎 X线摄影术 

分 类 号：R163[医药卫生—公共卫生与预防医学]