类鼻疽肺炎26例临床特点与影像学表现  

26 cases of melioidosis pneumonia: clinical and radiological features

作　　者：钟有清[1] 林慧[2] 

机构地区：[1]海南医学院附属医院呼吸内科,海南海口570102 [2]海南省人民医院麻醉科,海南海口570311

出　　处：《中国现代医学杂志》2014年第19期88-91,共4页China Journal of Modern Medicine

摘　　要：目的提高人们对类鼻疽肺炎临床特点及影像学表现的认识。方法总结海南岛经培养证实的26例类鼻疽肺炎患者,探讨其临床特点及影像学表现。结果类鼻疽肺炎症状表现为发热(100%)、咳嗽(73.1%)、咳痰(61.5%)等,血常规中性粒细胞比例及C-反应蛋大多明显升高,类鼻疽伯克霍尔德菌血培养阳性占92.3%,痰培养阳性占23.1%。胸部影像学表现常累及上叶为主的多个肺叶,浸润性病变为主(84.6%),结节(46.2%)、胸腔积液(46.2%)、空洞(34.6%)也常见。结论虽未发现特征性改变,但熟悉类鼻疽肺炎临床及影像学表现对该病的诊断还是大有裨益。[Objective] To raise awareness of the clinical and radiological features of melioidosis pneumonia. [ Methods ] Clinical and radiological features of 26 patients with culture-proven melioidosis pneumonia were retrospectively analyzed in Hainan Island. [Results] The main clinical manifestations included fever （100%）, cough （73.1%）, expectoration （61.5%）. Leukocytosis and elevated C-reactive protein （CRP） can be found in most patients; the proportion of burkholderia pseudomallei （Bp） isolates among positive cultures was 92.3% in blood culture and 23.1% in sputum, respectively. Findings on radiography consist of mnltilobar （with upper lobe predominance） lesions, commonly presenting as infiltration （84.6%）, nodules/masses （46.2%）, pleural effusion （46.2%） and cavities（34.6%）. [ Conclusion ] To be familiar with clinical and radiological features of melioidosis pneumonia is helpful during the diagnostic procedure, although the features are nonspecific.

关 键 词：类鼻疽肺炎 类鼻疽伯克霍尔德菌 放射照像术 

分 类 号：R563.1[医药卫生—呼吸系统]