高分辨率多层螺旋CT扫描在重症肺炎诊断中的应用价值  

The Application Value of High-Resolution Multi-Slice Spiral CT Scan in the Diagnosis of Severe Pneumonia

作　　者：梁玉鑫[1] 邢学君 刘贵林 刘博 

机构地区：[1]河北省秦皇岛市第三医院放射科,河北秦皇岛325000 [2]北京解放军301总院CT室,北京100039

出　　处：《中国CT和MRI杂志》2017年第10期61-63,共3页Chinese Journal of CT and MRI

基　　金：秦皇岛市2007年科学技术研究与发展指导计划项目[秦科技(2007)58号]

摘　　要：目的探讨高分辨率多层螺旋CT在重症肺炎诊断中的应用价值。方法回顾性分析我院2013年12月-2015年12月期间接收诊治的83例重症肺炎患者的临床资料和高分辨率多层螺旋CT影像学资料,综合分析重症肺炎的高分辨率多层螺旋CT影像特征及病理特点。结果本组83例重症肺炎患者中并发症包括有心肌梗死、肺外感染、COPD等共92例,此外患者中1-2个器官受累48例(57.8%),3个及以上器官受累35例(42.1%),器官中又以心脏和肾脏受累为主。通过CT扫描结果及病理学确诊本组83例患者中单个及双个肺叶受累有54例占65.1%,三个及三个以上肺叶受累有29例,占34.9%。社区获得性肺炎(CAP)有52例,占62.6%,医院获得性肺炎(HAP)患者有31例,占37.4%。结论高分辨率多层螺旋CT具有多角度、宽方位、高分辨率的特点,在对重症肺炎患者的临床诊断中,不仅能够清楚地显示出肺炎感染的部位、形态及其与邻近组织的关系,还能够清晰的表现出重症肺炎的影像特异性,再结合患者的临床表现能快速的确定患者为重症肺炎,这对重症肺炎的定位、定性诊断具有十分重要的临床意义,值得进一步推广和应用。Objective To investigate the clinical value of high resolution multi-slice spiral CT in the diagnosis of severe pneumonia. Methods Retrospective analysis of CT data of g3 patients with severe pneumonia in our hospital from January 2013 to December 2015, and comprehensive analysis of high-resolution multi-slice spiral CT imaging features and pathological features, Results Among 83 patients, a total of 92 cases of complications including myocardial infarction, pulmonary infections, COPD, 48 cases（57.8%） are 1-2 organs involved, 35 cases（42.1%） are over 3 organs involved, and heart and kidney organs are mainly involved. Through CT scan and pathological diagnosis, among 83 patients, 54 cases accounted for 65.1% in the single and double lobes involved, 29 cases accounted for 34.9% more than three and three lung involved. 52 cases of conununity-acquired pneumonia （CAP）, accounting for 62.6%, and 31 cases of hospital-acquired pneumonia （HAP）, accounting for 37.4%. Conclusion High-resolution multi-slice spiral CT with multi-angle, wide-azimuth, high-resolution features, in the clinical diagnosis of patients with severe pneumonia, it is not only able to clearly show the relationship between pneumonia location, shape and the adjacent tissues, also clearly showed images of specific severe pneumonia, combined with clinical manifestations, which can quickly identify patients with severe pneumonia, which has significance clinical value in localization and qualitative of severe pneumonia, worthy of further promotion and application.

关 键 词：高分辨率多层螺旋CT 重症肺炎 

分 类 号：R563.1[医药卫生—呼吸系统]