鲍曼不动杆菌肺感染影像学特征分析

发布时间：2018-08-28 10:36

【摘要】：目的鲍曼不动杆菌肺感染发病率及耐药率日趋升高,本文旨在总结分析鲍曼不动杆菌肺感染影像学表现,为早期临床诊断及治疗提供依据。资料与方法回顾性分析49例经痰培养证实的鲍曼不动杆菌肺感染患者的影像表现,总结归纳其影像学特征。结果鲍曼不动杆菌肺感染胸部CT最常见的3种变化是弥漫磨玻璃改变[69.4%(34/49)]、实变[67.3%(33/49)]、胸腔积液[53.1%(26/49)],X线胸片主要表现为肺内斑片影[83.7%(41/49)]、实变[36.7%(18/49)]、胸腔积液[36.7%(18/49)],进一步分析显示鲍曼不动杆菌混合感染和单纯鲍曼不动杆菌感染胸部CT和X线胸片影像学表现差异无统计学意义(P0.05)。结论鲍曼不动杆菌肺感染胸部影像学最常见的3种变化是弥漫磨玻璃改变、肺实变、胸腔积液。总结其影像学特点,对临床早期诊断、治疗及判断预后具有重要意义。
[Abstract]:Objective to summarize and analyze the imaging manifestations of Acinetobacter baumannii pulmonary infection in order to provide evidence for early clinical diagnosis and treatment. Materials and methods the imaging features of 49 patients with Acinetobacter baumannii pulmonary infection confirmed by sputum culture were analyzed retrospectively. Results the three most common changes of CT in the chest of Acinetobacter baumannii lung infection were diffuse ground-glass changes [69.4% (34 / 49)], consolidation changes [67.3% (33 / 49)], pleural effusion [53.1% (26 / 49)] chest radiographs, intrapulmonary speckles [83.7% (41 / 49)], consolidation [36.7% (18 / 49)], pleural effusion [36.7% (18 / 49)]. There was no significant difference in chest CT and X-ray radiographic findings between Acinetobacter acinetobacter infection and Acinetobacter baumannii infection (P0.05). Conclusion the three most common changes in chest imaging of Acinetobacter baumannii pulmonary infection are diffuse glass, pulmonary consolidation and pleural effusion. It is important for early diagnosis, treatment and prognosis to summarize its imaging features.
【作者单位】：首都医科大学附属北京潞河医院放射科;首都医科大学附属北京潞河医院EICU;首都医科大学附属北京潞河医院检验科;首都医科大学附属北京友谊医院放射科;
【分类号】：R563.1;R816.4

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