16例重症传染性非典型肺炎的CT表现分析  

Analysis of CT and Clinical Manifestations of Severe Infectious Atypical Pneumonia

作　　者：唐笑先[1] 王健[1] 赵丽莎[1] 周玉娥[1] 李学军[1] 马建中[1] 魏东光[2] 

机构地区：[1]山西省人民医院CT室,山西太原030012 [2]山西省人民医院呼吸内科,山西太原030012

出　　处：《中国医学影像技术》2003年第7期805-806,共2页Chinese Journal of Medical Imaging Technology

摘　　要：目的　评价重症传染性非典型肺炎的CT表现。方法　回顾性总结分析了 16例经临床确诊的重症非典型肺炎病例的临床及CT资料。结果　①初期 :单发病灶仅 5例 (3 1.2 % ) ,多段多叶病灶 11例 (68% ) ,表现多种多样 ,78.4%病灶小于 5cm ;②进展期 :病变迅速发展 ,范围扩大 ,病灶数目明显增多 ,CT表现多样化 ,新、老病灶并存。少数伴胸膜改变 ;③吸收期 :病灶明显缩小 ,变淡 ,胸膜改变也随之消失。结论　传染性非典型肺炎患者临床及CT表现重 ,病灶进展快 ,肺部病变范围大 ,数量多 ,是其特征。CT初查及定期复查 ,对于临床诊治及判断预后有重要意义。Objective To eveluate the features of severe infectious atypical pneumonia on chest CT.Methods Sixteen patients with SIAP were diagnosed by clinical examination,epidemology,radiology,laboratory examination,and their chest CT findings were analyzed retrospectively.Results ①early stage:singular focus in 5 cases (31.2%),multisegmente and multilobe in 11 cases (68%).Focuses exhibite multiform and multishaped.78.4% focuses were less than 5cm.②Progressive stage:focuses developed rapidly,the extent enlarged,the number of focuses increased rapidly ,multiform and multishape in CT manifestation,new and old focuses coexiste together.Several was companied with pleural change.③Absorb stage:focuses evidently shrink,less dense,pleural changes disappeared.Conclusion The manifestation of SIAP patients in clinical and CT was severe, the focuses developed rapidly and widely and the numbers of them were too many.It was important to the diagnosis and treatment of clinical that these patients were examined at first and reexamined regularly.

关 键 词：传染性非典型肺炎 体层摄影术 X线计算机 

分 类 号：R563.1[医药卫生—呼吸系统] R814.41[医药卫生—内科学]