8例原发群体急性肺组织胞浆菌病CT表现分析  

CT Manifestations of Eight Patients with Primary Group Acute Pulmonary Histoplasmosis

作　　者：耿鹏 杜映荣 吴磊 陈苏云 何琪 林丽芬 GENG Peng;DU Yingrong;WU Lei(Department of Radiology,The Third People＇s Hospital of Kunming City,Kunming,Yunnan Province 650041,P.R.China)

机构地区：[1]云南省昆明市第三人民医院放射科

出　　处：《临床放射学杂志》2018年第10期1661-1663,共3页Journal of Clinical Radiology

摘　　要：目的探讨原发群体急性肺组织胞浆菌病的CT表现特征。方法回顾性分析8例经诊断性治疗后诊断为原发群体急性肺组织胞浆菌病患者的临床及影像学资料。8例均行肺部CT平扫,观察病灶的大小、形态、位置、密度、分布等。结果 8例患者双肺内均出现弥漫分布2~8 mm的小结节影、条索影、纵隔淋巴结肿大、不同程度的胸膜增厚粘连,2例出现双侧胸腔积液。结论原发群体急性组织胞浆菌病的CT表现为双肺弥漫分布的小结节影、条索影及纵隔淋巴结增大等征象。Objective To explore the CT manifestations of the primary group acute pulmonary histoplasmosis. Methods CT findings of 8 patients with the primary group acute pulmonary histoplasmosis confirmed by diagnostic therapy were retrospectively analyzed in August 2016. The size,shape,location,density and distribution of the lesions on CT images was observed. Results In all the 8 patients lesions appeared as diffuse small nodules ranging from 2 mm to 8 mm and fibrosis in the bilateral lungs,the mediastinal enlarged lymph nodes,various degrees of pleural thickening and adhesion,and 2 patients also showed bilateral pleural effusion. Conclusion Some CT manifestations from the primary groups of acute pulmonary histoplasmosis revealed that diffused nodules and fibrosis in the bilateral lungs,the mediastinal enlarged lymph nodes and various degrees of pleural thickening and adhesion.

关 键 词：真菌感染 肺组织胞浆菌 体层摄影术 X线计算机 

分 类 号：R816.41[医药卫生—放射医学] R519[医药卫生—临床医学]