389例成人HIV/AIDS肺部感染的临床和影像学分析  

Clinical and imaging analysis of pulmonary infection in adult HIV/AIDS

作　　者：李跃明[1] 杨凤娥[2] 陈正挺[1] 陈益光[1] 

机构地区：[1]福建医科大学附属第一医院放射科,福建福州350005 [2]福建医科大学附属协和医院内科,福建福州350005

出　　处：《医学影像学杂志》2003年第12期930-933,共4页Journal of Medical Imaging

基　　金：福建省卫生厅青年科学研究基金资助项目 (0 2A0 74)

摘　　要：目的 :探讨成人HIV/AIDS合并肺部感染的临床特点和影像学征象。方法 :收集在援博茨瓦纳玛丽娜公主医院临床确证的HIV/AIDS肺部感染 389例 ,对其常见类型的临床特点和影像征象进行综合分析。结果 :HIV/AIDS肺部感染最常见的类型为肺结核、卡氏肺囊虫肺炎和细菌性肺炎 ,临床特点、X线和CT表现具有一定的特征。结论 :肺部感染是艾滋病患者晚期的主要机会性感染。肺内出现斑片、大片或弥漫病变 ,或肺门、纵隔淋巴结肿大 ,结合临床资料应考虑这些感染的可能。Objective:To study clinical characteristic and imaging findings of pulmonary infection in adult AIDS.Methods:389 cases with pulmonary infection in AIDS were evaluated together with clinical and laboratory data.Results:Pulmonary tuberculosis,carinii pneumonia and bacterial pneumonia are most common infections in AIDS.Certain characteristics of clinical and imaging findings relative to pulmonary infection in AIDS were detected.]Conclusion:Pulmonary opportunity infections are common in advanced cases of AIDS. The patchy, consolidations, diffused diseases and enlarged hilar and mediastinal lymph nodes are important imaging appearances.

关 键 词：获得性免疫缺陷综合征 人类免疫缺陷病毒 肺部感染 影像诊断 

分 类 号：R512.91[医药卫生—内科学]