唐笑先,王 健,赵丽莎,周玉娥,李学军,马建中,魏东光.16例重症传染性非典型肺炎的CT表现分析[J].中国医学影像技术,2003,19(7):
16例重症传染性非典型肺炎的CT表现分析
Analysis of CT and Clinical Manifestations of Severe Infectious Atypical Pneumonia
投稿时间:2003-06-24  
DOI:
中文关键词:  传染性非典型肺炎  体层摄影术,X线计算机
英文关键词:Infectious atypical pneumonia  Tomography,X-ray computed
基金项目:
作者单位
唐笑先 山西省人民医院CT室,山西 太原 030012 
王 健 山西省人民医院CT室,山西 太原 030012 
赵丽莎 山西省人民医院CT室,山西 太原 030012 
周玉娥 山西省人民医院CT室,山西 太原 030012 
李学军 山西省人民医院CT室,山西 太原 030012 
马建中 山西省人民医院CT室,山西 太原 030012 
魏东光 山西省人民医院呼吸内科,山西 太原 030012 
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中文摘要:
      目的 评价重症传染性非典型肺炎的CT表现。方法 回顾性总结分析了16例经临床确诊的重症非典型肺炎病例的临床及CT资料。结果 ①初期:单发病灶仅5例(31.2%),多段多叶病灶11例(68%),表现多种多样,78.4%病灶小于5cm;②进展期:病变迅速发展,范围扩大,病灶数目明显增多,CT表现多样化,新、老病灶并存。少数伴胸膜改变;③吸收期:病灶明显缩小,变淡,胸膜改变也随之消失。结论 传染性非典型肺炎患者临床及CT表现重,病灶进展快,肺部病变范围大,数量多,是其特征。CT初查及定期复查,对于临床诊治及判断预后有重要意义。
英文摘要:
      Objective To eveluate the features of severe infectious atypical pneumonia on chest CT.Methods Sixteen patients with SIAP were diagnosed by clinical examination,epidemology,radiology,laboratory examination,and their chest CT findings were analyzed retrospectively.Results ①early stage:singular focus in 5 cases (31.2%),multisegmente and multilobe in 11 cases (68%).Focuses exhibite multiform and multishaped.78.4% focuses were less than 5cm.②Progressive stage:focuses developed rapidly,the extent enlarged,the number of focuses increased rapidly ,multiform and multishape in CT manifestation,new and old focuses coexiste together.Several was companied with pleural change.③Absorb stage:focuses evidently shrink,less dense,pleural changes disappeared.Conclusion The manifestation of SIAP patients in clinical and CT was severe, the focuses developed rapidly and widely and the numbers of them were too many.It was important to the diagnosis and treatment of clinical that these patients were examined at first and reexamined regularly.
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