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肝炎肝硬化并发真菌性肺炎影像学表现
引用本文:张川,李光民,阮海丽,赵晓亮. 肝炎肝硬化并发真菌性肺炎影像学表现[J]. 中华医院感染学杂志, 2010, 20(6)
作者姓名:张川  李光民  阮海丽  赵晓亮
作者单位:1. 唐山市传染病医院放射科,河北,唐山,063000
2. 唐山市妇幼保健院放射科,河北,唐山,063000
3. 华北煤炭医学院附属路南分院外科,河北,唐山,063000
摘    要:
目的分析肝炎肝硬化并发真菌性肺炎的X线及CT表现,提高对真菌性肺炎的认识。方法回顾性分析8例肝炎肝硬化并发真菌性肺炎的X线及CT表现,并复习相关文献资料。结果5例有肺炎样改变,表现为单侧或双侧不规则斑片状、絮状影及肺纹理增粗,其中2例并多发结节团块状影,2例并伴有胸膜肥厚粘连及少量胸腔积液;单发结节状影1例;大叶性实变并局部胸膜肥厚粘连1例;茀菌球样改变并局部胸膜肥厚粘连1例。结论真菌性肺炎X线及CT表现各异,形态多样,影像学诊断困难,及时行病原菌、病理学检查,是提高早期诊断的关键。

关 键 词:真菌性肺炎  肝硬化  影像学

Posthepatitis Cirrhosis Complicating with Mycotic Pneumonia:Radiological Manifestations
ZHANG Chuan,LI Guang-min,RUAN Hai-li,ZHAO Xiao-liang. Posthepatitis Cirrhosis Complicating with Mycotic Pneumonia:Radiological Manifestations[J]. Chinese Journal of Nosocomiology, 2010, 20(6)
Authors:ZHANG Chuan  LI Guang-min  RUAN Hai-li  ZHAO Xiao-liang
Affiliation:ZHANG Chuan,LI Guang-min,RUAN Hai-li,ZHAO Xiao-liang(Tangshan Infectious Disease Hospital,Tangshan,Hebei 063000,China)
Abstract:
OBJECTIVE To improve the awareness of mycotic pneumonia by analyzing the X-ray and CT manifestations of posthepatitis cirrhosis complicating with mycotic pneumonia.METHODS The X-ray and CT manifestations of 8 cases of posthepatitis cirrhosis complicating with mycotic pneumonia were analyzed retrospectively,and the relevant literatures were reviewed.RESULTS The following signs were observed.Five of the 8 cases had pneumonia-like changes manifested as unilateral or bilateral irregular patchy and flocculent im...
Keywords:Fungal pneumonia  Liver cirrhosis  Imaging
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