艾滋病合并肺孢子菌肺炎的临床与HRCT表现  

Clinical and HRCT Imaging of AIDS Complicated with Pneumocystis Pneumonia

作　　者：李航[1] 张建军[2] 汪明月[1] 张在鹏[1] 鲁植艳[1] 

机构地区：[1]武汉大学中南医院医学影像科,湖北武汉430071 [2]黄冈市第二人民医院,湖北黄冈

出　　处：《医学新知》2017年第4期361-363,共3页New Medicine

摘　　要：目的 探讨艾滋病合并肺孢子菌肺炎（PCP）的临床及HRCT表现特征.方法 回顾性分析50例艾滋病合并肺孢子菌肺炎的临床、影像学资料,总结其临床及影像学表现及特征.结果 50例艾滋病合并PCP患者中,HRCT常见影像征象为磨玻璃密度影.影像学表现可分为7型,即单纯磨玻璃型、实变合并磨玻璃型、间质合并磨玻璃型、结节型、气囊型、混合型及其他.结论 艾滋病合并PCP的特征性影像学表现是双肺弥漫、对称分布的磨玻璃影,伴或不伴有斑片实变、网状影、结节和肺气囊.HRCT可以发现肺内细微病灶,有助于早期诊断.Objective To study features of clinical and HRCT imaging of AIDS complicated with pneumocystis pneumonia（PCP）. Methods Clinical and radiographic data of 50 patients with AIDS complicated with PCP were an- alyzed retrospectively. Results The common HRCT imaging was ground - glass opacity in AIDS complicated with PCP. The imaging features were classified into 7 types ： pure ground - glass opacity, patchy with ground glass opacity, interstitial combined with ground glass opacity, nodule type, pneumatocele type, mixed type and other types. Conclusion Diffuse ground- glass opacity with or without patchy, interlobular septal thickening, nodule and pneumatocele are the characteristic imaging manifestations of AIDS complicated with PCP. HRCT can detect small lesions and help early diagnosis.

关 键 词：获得性免疫缺陷综合征 肺孢子菌肺炎 

分 类 号：R814.42[医药卫生—影像医学与核医学]