获得性免疫缺陷综合征患者肺部感染的影像学诊断分析

发布时间：2018-03-20 03:00

本文选题：HIV合并肺部感染　切入点：影像学　出处：《中华医院感染学杂志》2017年22期 　论文类型：期刊论文

【摘要】：目的探析获得性免疫缺陷综合征(AIDS)患者肺部感染的影像学诊断价值。方法选取2012年1月-2016年1月医院收治的HIV合并肺部感染患者389例,对其进行实验室检查及CT检查,分析HIV患者肺部感染情况及影像学表现。结果 389例患者中,以年龄18~29岁176例为主,占45.2%;肺部感染类型以肺结核199例为主,占51.2%;199例肺结核患者中,168例患者AIDS期具有多种多样的肺结核病变形态,其余31例具有较轻的X线征象,5例患者为中等量胸腔积液;117例肺孢子菌患者中,典型X线表现为毛磨玻璃样浸润及对称性网状或网织结节状影弥散于两侧肺门周围,全肺会在几天内受到累及,促进弥漫性实变的发生,但是仍然有网状影出现在肺野外围。结论 HIV合并肺部感染的影像学诊断价值高,CT检查特别是高分辨力CT能够有效表现病灶特征,为临床诊断和治疗工作提供依据,从而改善患者预后,值得临床推广使用。
[Abstract]:Objective to explore the imaging diagnostic value of pulmonary infection in patients with acquired immunodeficiency syndrome (HIV). Methods from January 2012 to January 2016, 389 patients with HIV complicated with pulmonary infection were selected and examined by laboratory and CT. Results among the 389 patients, 176 cases (45.2%) were mainly aged 1829 years, 199 cases of pulmonary infection were pulmonary tuberculosis. Of the 199 patients with pulmonary tuberculosis, 168had a variety of pulmonary tuberculosis lesions in the AIDS phase, and the other 31 patients had mild X-ray signs, 5 patients had moderate pleural effusion and 117 patients with pneumocystis, the other 31 patients had mild X-ray signs, and 5 patients had moderate pleural effusion. The typical X-ray findings are as follows: goiter glass infiltration and symmetrical reticular or reticular nodules diffuse around the hilum of the lungs. The whole lung will be involved within a few days, promoting the occurrence of diffuse consolidation. But there are still reticular shadows around the lung field. Conclusion the imaging diagnosis value of HIV complicated with pulmonary infection is high resolution CT, especially high resolution CT, which can provide evidence for clinical diagnosis and treatment. In order to improve the prognosis of patients, worthy of clinical application.
【作者单位】：浙江大学医学院附属邵逸夫医院放射科;杭州市西溪医院放射科;杭州市西溪医院麻醉科;
【基金】：浙江省卫生厅医药卫生计划基金项目资助(2013KYB151)
【分类号】：R512.91;R563.1

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