艾滋病合并肺结核187例患者胸部CT表现  

The Chest CT Features of 187 Pulmonary Tuberculosis with AIDS

作　　者：张荣萍[1] 王涛[1] 宋立江[1] 苏国华[1] 马力[1] 高俊[1] 

机构地区：[1]凉山州第一人民医院放射科,四川西昌

出　　处：《医学诊断》2016年第1期1-4,共4页Medical Diagnosis

摘　　要：目的:通过总结艾滋病(AIDS)合并肺结核的胸部CT表现,探讨其影像学特征。方法:回顾性分析187例AIDS合并肺结核病人的胸部CT影像资料。结果:157例患者双肺均受累,170例累及两叶及两叶以上;CT表现为粟粒性肺结核者98例,干酪样肺炎35例,空洞样病变24例,并发纵隔淋巴结肿大101例,胸腔积液80例,心包积液22例。结论:艾滋病合并肺结核患者胸部CT表现多不典型,病变部位不典型,累及范围广泛,以粟粒样结核干酪样肺炎常见,常合并纵膈淋巴结肿大及胸腔积液,CT能显示AIDS合并肺结核的各种影像特征。Objective: To explore the CT imaging features by summarizing the chest CT image of AIDS patients with pulmonary tuberculosis. Methods: The chest CT imagines of 187 AIDS patients with pulmonary tuberculosis were retrospectively analyzed. Results: 157 cases of patients with two lung are involved, 170 cases involve more than two leaves and two leaves;CT showed miliary tuberculosis 98 cases, 35 cases of pneumonia-like cheese, hole-like lesions in 24 cases, 101 cases of concurrent mediastinal lymphadenopathy. Pleural effusion was 80 cases, 22 cases of pericardial effusion. Con- clusion: The chest CT finding of AIDS patients with pulmonary tuberculosis is atypical, the lesion is not typical, involving a wide range, with miliary tuberculosis Caseous pneumonia common, often associated with mediastinal lymphadenopathy and pleural effusion. Imaging features of pulmonary tuberculosis with AIDS can be showed by CT.

关 键 词：获得性免疫缺陷综合征 肺结核 CT表现 

分 类 号：R5[医药卫生—内科学]