大叶性肺炎的临床与CT表现

目的 探讨 大叶性肺炎的临床与ＣＴ表现。方法 收集１８例临床证实的大叶性肺炎，男１５例，女３例，年龄１７－８４岁，平均５８．１岁，均行血常规、胸部平片及ＣＴ检查。结果 本组１０组临床表现不典型，其中１例为体检者。１５例ＷＢＣ均升高，除３例早期胸片外，胸片及ＣＴ显示单个或多个肺投或肺叶分布的均质实变或斑片状密度增高影，实变肺组织体积不缩小，内可见“含气支气管征”。结论 ＣＴ与本病的临床表现密切相关，

Clinical manifestation and CT features of lobar pneumonia

Prupose To explore the clinical manifestations and CT features of from lobar pneumonia. Methods Blood routine examination, chest radiography and CT were accomplished on 18 patients suffering from lobar pneumonia proved by clinical signs and symptoms. Results Ten of 18 cases hadn't typical signs and symptoms of lobar pneumonia and one of 10 required routine physical examination. WBC fountincreased in 15 patients and even consolidation, mottling orpatchy shadow was in shown single or multiple lobars or segments in chest radiographes. The volume of the lung tissue with consolidation didnot reduce. Air bronchogram in CT image was found in 8 cases. Conclusion The fiandingss in CT image of lobar pneumonia is closely related to the clinical signs and symptoms, CT should be one of the early basic diagnostic means for this disease. Lobular and seg-mental consolidation, no volume reduction of effected lung, air bronchogram, and larger mottling zone with increased density in lung window than me-diastinal window are typical CT signs of the disease.