HIV患者继发卡氏肺囊虫肺炎治疗的胸部CT动态变化

发布时间：2018-03-13 01:22

本文选题：人类免疫缺陷病毒　切入点：卡氏肺囊虫肺炎　出处：《临床放射学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的探讨人类免疫缺陷病毒(HIV)患者继发卡氏肺囊虫肺炎(PCP)感染治疗的CT影像学表现。方法搜集经临床及病理证实的HIV患者继发PCP 9例,均正规、足量、全程选用复方磺胺甲基异恶唑(SMZ-TMP)治疗,回顾性分析9例患者病程不同时期胸部CT影像表现和治疗的影响。结果 9例胸部CT首次检查表现弥漫性浅淡磨玻璃样影(GGO)2例,GGO伴局限性增粗纹理4例,弥漫性GGO伴弥漫性网状增粗纹理、以及更多融合均匀的肺实变影3例。治疗后3天~8周,GGO完全吸收3例,大部分吸收3例,病灶进展1例,合并其他机遇感染2例,病灶最早有吸收在治疗后第3天。结论 PCP感染主要表现为两肺磨玻璃样改变、网状或斑点状影时,治疗后可完全吸收;两肺弥漫性间质性或实质性均匀阴影,则吸收缓慢,易继发其他感染。
[Abstract]:Objective to investigate the CT imaging findings of HIV infection in patients with HIV infection. Methods 9 cases of PCP secondary to HIV confirmed by clinic and pathology were collected, all of them were regular and sufficient. Compound sulfamethoxazole (SMZ-TMP) was used to treat the patients. Results the chest CT findings of 9 patients with different stages of the disease course and the effect of treatment were retrospectively analyzed. Results the findings of 9 cases of chest CT were diffusely light ground glass-like GGOG (n = 2) with local thickening texture in 4 cases, and there were 4 cases of GGO with local thickening in 4 cases. There were 3 cases of diffuse GGO with diffuse reticular thickening and more homogeneous pulmonary consolidation. 3 cases were completely absorbed, 3 cases were mostly absorbed, 1 case was progressive, 2 cases were complicated with other opportunistic infection, 3 cases were completely absorbed, 3 cases were mostly absorbed, 2 cases were complicated with other opportunistic infection. Conclusion the PCP infection is mainly characterized by the change of glass-like changes in the two lungs. When the lesions are reticular or speckle, they can be absorbed completely after treatment, but the diffuse interstitial or parenchymal shadows of the two lungs are slow to absorb. Other infections are susceptible to secondary infection.
【作者单位】：江苏省常州第三人民医院放射科;
【分类号】：R512.91;R816.4

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