类鼻疽肺炎26例临床特点与影像学表现

发布时间：2018-05-10 07:33

本文选题：类鼻疽肺炎 + 类鼻疽伯克霍尔德菌　；参考：《中国现代医学杂志》2014年19期

【摘要】：目的提高人们对类鼻疽肺炎临床特点及影像学表现的认识。方法总结海南岛经培养证实的26例类鼻疽肺炎患者,探讨其临床特点及影像学表现。结果类鼻疽肺炎症状表现为发热(100%)、咳嗽(73.1%)、咳痰(61.5%)等,血常规中性粒细胞比例及C-反应蛋大多明显升高,类鼻疽伯克霍尔德菌血培养阳性占92.3%,痰培养阳性占23.1%。胸部影像学表现常累及上叶为主的多个肺叶,浸润性病变为主(84.6%),结节(46.2%)、胸腔积液(46.2%)、空洞(34.6%)也常见。结论虽未发现特征性改变,但熟悉类鼻疽肺炎临床及影像学表现对该病的诊断还是大有裨益。
[Abstract]:Objective to improve the understanding of clinical features and imaging manifestations of mallex pneumonia. Methods 26 cases of mallex pneumonia confirmed by culture in Hainan Island were summarized and their clinical features and imaging findings were discussed. Results the symptoms of pneumonia were fever, 73.1% cough and 61.5% of sputum. The percentage of neutrophils and C-reactive eggs in routine blood was significantly increased. The positive rate of blood culture was 92.3%, the positive rate of sputum culture was 23.1%. Chest imaging findings often involved multiple lobes of the upper lobe, infiltrating lesions mainly included 84.6 lesions, tuberosity 46.2a, pleural effusion 46.2us, cavity 34.6). Conclusion although no characteristic changes have been found, it is helpful to be familiar with the clinical and imaging manifestations of mallex pneumonia.
【作者单位】：海南医学院附属医院呼吸内科;海南省人民医院麻醉科;
【分类号】：R563.1

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