曲丹,林琳,李胜岐.成人肺炎支原体肺炎的CT影像特点[J].中国医学影像技术,2010,26(2):269~271
成人肺炎支原体肺炎的CT影像特点
CT features of adult mycoplasma pneumoniae pneumonia
投稿时间:2009-07-27  修订日期:2009-10-27
DOI:
中文关键词:  肺炎  支原体  体层摄影术,X线计算机
英文关键词:Pneumoniae  Mycoplasma  Tomography, X-ray computed
基金项目:
作者单位E-mail
曲丹 中国医科大学附属盛京医院呼吸内科,辽宁 沈阳 110004  
林琳 中国医科大学附属盛京医院呼吸内科,辽宁 沈阳 110004  
李胜岐 中国医科大学附属盛京医院呼吸内科,辽宁 沈阳 110004 qudanququ@yahoo.com.cn 
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中文摘要:
      目的 探讨成人肺炎支原体肺炎的CT影像特点,指导临床对肺炎支原体肺炎的早期诊断。方法 对40例经血清学证实的肺炎支原体肺炎患者的CT影像进行回顾性分析。结果 在40例患者中,最常见CT表现为磨玻璃影(34/40,85.00%)及实变影(28/40,70.00%),其他表现有结节影(18/40,45.00%)、支气管血管束增粗(6/40,15.00%)、小叶间隔增厚(6/40,15.00%)、纵隔淋巴结肿大(6/40,15.00%)及胸腔积液(4/40,10.00%)。病变以双肺下叶多见,多呈小叶性分布。部分患者病灶的吸收较临床表现改善慢。结论 支原体肺炎的CT表现具有一定特点,对早期诊断具有一定价值。
英文摘要:
      Objective To observe the CT features of mycoplasma pneumoniae pneumonia. Methods CT features of 40 adult patients with serologically proven mycoplasma pneumoniae pneumonia were retrospectively reviewed. Results The most common CT findings of mycoplasma pneumoniae pneumonia were ground-glass opacity (34/40, 85.00%) and consolidation (28/40, 70.00%). The other findings included nodules (18/40, 45.00%), thickening of the bronchovascular bundles (6/40, 15.00%), interlobular septal thickening (6/40, 15.00%), mediastinal lymphadenopathy (6/40, 15.00%) and pleural effusion (4/40, 10.00%). Most of the ground-glass opacity and consolidation showed tendency of lobular distribution and involving the lower lobes. In some patients, the absorption of the lesions was slower than the relief of symptoms. Conclusion CT findings of mycoplasma pneumoniae pneumonia have some features, and can provide help for the diagnosis of mycoplasma pneumoniae pneumonia.
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