摘要
目的了解慢性重型肝炎(CSH)合并侵袭性肺真菌感染(IPFI)患者的胸部CT表现。方法选取2007年5月—2013年5月嵊州市人民医院及浙江大学附属第一医院收治的CSH合并IPFI患者50例,均行胸部CT扫描,观察病变的形态、范围、边界、密度和病灶大小,并分析其与病原菌的关系。结果 50例CSH合并IPFI患者病原菌中假丝酵母菌30例,曲霉菌15例,组织胞浆菌3例,肺孢子菌2例。CT征象中出现最多的为结节(23例,46%),其他依次为实变(14例,28%)、网格或线样影(7例,14%)、磨玻璃影(5例,10%)、胸腔积液(1例,2%)。经对症治疗好转22例,死亡28例,病死率为56%。结论 CSH合并IPFI患者的胸部CT表现缺乏特异性,需结合临床实验室资料、病变分布及病变演变才能作出明确诊断。
Objective To investigate chest CT manifestations of patients with chronic severe hepatitis（ CSH）and invasive pulmonary fungal infection（IPFI）. Methods 50 patients with CSH and IPFI who were treated in Shengzhou Peopleˊs Hospital and the First Hospital Affiliated to Zhejiang University from May 2007 to May 2013,were selected as study subjects,all cases received chest CT examination,lesionˊs morphological features,scope,boundary,density and size were observed,and the relationship between lesion and pathogenic bacteria was analysed. Results Among pathogenic bacteria of 50 patients with CSH and IPFI,there were 30 cases of candidiasis,15 cases of aspergillosis,3 cases of histoplasmosis,2 cases of pneumocystis pneumonia. The most common CT signs were nodules（23 cases,46% ）,consolidation（14 cases,28% ）,grid or wire - like shadow（7 cases,14% ）,ground - glass opacities（5 cases,10% ）,pleural effusion（1 case,2% ）. After symptomatic treatment,22 cases got better,28 cases dead,fatality rate was 56%. Conclusion The chest CT manifestations of patients with SCH and IPFI lack specificity,to make a definite diagnosis,clinical laboratory data,distribution of lesions and lesion evolution are also needed.
出处
《中国全科医学》
CAS
CSCD
北大核心
2015年第3期355-357,共3页
Chinese General Practice
关键词
肝炎
真菌
肺疾病
感染
体层摄影术
X
线计算机
Hepatitis
Fungi
Lung diseaes
Infection
Tomography,X - ray computed
作者简介
通信作者：刘义平，312400浙江省嵊州市人民医院放射科；E—mail：mvliuyiping@126．com
