CT在艾滋病合并卡氏肺囊虫性肺炎诊断中的价值  

A study on CT diagnosis of AIDS merged Pneumocystis carinii pneumonia in iconography

作　　者：左谭[1] 荣阳[1] 

机构地区：[1]中国医科大学辽阳中心医院医学影像科CT室,辽宁辽阳111000

出　　处：《中国当代医药》2013年第20期118-119,共2页China Modern Medicine

摘　　要：目的研究AIDS合并卡氏肺囊虫性肺炎特征性的CT表现与影像学研究价值。方法选取10例经HIV检测证实的AIDS合并卡氏肺囊虫性肺炎的CT影像资料并归纳总结。结果卡氏肺囊虫性肺炎的CT表现是多变的,初期通常表现为双侧肺门区散在小灶性毛玻璃样阴影;进一步表现为广泛网状阴影为主或毛玻璃样阴影为主,可伴有明显小叶间隔增厚;还可见位于斑片状毛玻璃阴影或实变影中的囊变阴影;各期病变常同时存在。结论正确认识AIDS合并卡氏肺囊虫性肺炎的CT表现,利于早期发现AID病变。Objective To study characteristic CT manifestation of AIDS merged pneumocystis carinii pneumonia and its value in Iconography study. Methods Take as examples 10 CT images of AIDS merged pneumocystis carinii pneu- monia patients who have proved by HIV test and try to draw a conclusion. Results The CT manifestation of pneumo- cystis carinii pneumonia varies. At the primary stage, it was a small-focused frosted-glass-like shadow in the area of hilum of lungs; at the intermediate stage, it was shown as vast web-like or frosted-glass like shadow, accompanied with apparent interlobular septal thickening; shadows of cystic change also can be seen in consolidation, and ground- glass shadow in patch; pathological changes of different stage usually co-exist. Conclusion Correct recognition of the CT manifestation of AIDS merged pneumocystis carinii pneumonia will help discover and hint the importance of AIDS diagnosis.

关 键 词：艾滋病 卡氏肺囊虫性肺炎 体层摄影术 X线计算机 影像诊断 

分 类 号：R445.3[医药卫生—影像医学与核医学]