摘要
目的:探讨艾滋病(AIDS)肺炎患者在临床治疗中的CT影像学特征及动态变化。方法:回顾性分析经临床诊断或病理证实的47例艾滋病肺炎患者,总结其影像学特征,评价其在临床应用中的价值。结果:依据艾滋病肺炎CT影像学表现,将其分为四类。患者抗炎治疗1个月后以CT下病变减少或消失并且临床症状减轻为标准,占各自类别的比例分别为11例(91.6%)、8例(53.3%)、5例(62%)、2例(16.7%)。结论:艾滋病肺炎的影像特征表现为弥漫渗出性病变,但治疗效果以局限渗出性病变为最佳。
Objective： To study CT findings and dynamic change in HIV infection of lung during the clinical treatment. Methods After clinical diagnosis or pathology the 47 patients who had HIV infection were analyzed retrospectively, to sum up the imaging characteristics and evaluation of the value In the clinical application. Results： Based on CT imaging of HIV infection, which was di- vided into 4 categories：limited exudative lesions,diffuse exudative lesions, lungconsolidation ,Interstitial lung change. All kinds of cases with CT image before the 47 patients were treated 12 cases showed limitation of the opacification, 15 cases showed shadow of diffuse mottles,8 cases showed lungconsoli- dation, 12 cases showed cystic changes, respectively. Patients were treated after a month,to reduce or disappear under the CT lesions and clinical symptom relief for the standard, the proportion of their respective categories 11 cases（91.6% ） ,8 cases（53.3% ） ,5 cases（62% ） ,2 cases（ 16. 7% ） ,respectively. Conclusion： diffuse exudative lesions was characteristic Imaging findings which HIV infection of lung, But limited exudative lesions had the best treatment effect in clinical.
关键词
艾滋病
肺炎
CT
诊断
治疗
AIDS
Opportunistic infection
CT diagnosis
Therapy
