恶性疟疾肺部X线征象(附86例分析)

目的　观察恶性疟疾肺部X线的改变。方法　对确诊为恶性疟疾伴有发热呼吸道症状者共 86例行常规胸部X线检查 ,观察肺部改变。结果　 86例恶性疟疾胸片 ,5 8例有异常改变 ,其中肺纹理增粗 3 3例 ,粟粒状、小片状、大片状改变 2 4例 ,多发球形病灶 1例。结论　恶性疟疾肺部X线改变呈多样性 ,但其共同特征为多分布于肺的外带和基底部 ,这与疟原虫致血液动力学异常以及受累组织病理学改变有关

Pulmonary X-ray Signs of Malignant Malaria(An Analysis of 86 Cases)

Objective To observe the pulmonary X-ray changes of malignant malaria.Methods The chest routine X-ray examination in 86 cases with malaria in company with respiratory tract symptoms such as fever was performed,the pulmonary changes were obsenved.Results Of 86 cases, 58 cases were abnormal on chest filmes,including lung framework marked in 33 cases,miliary,small or large patchy shadow in 24 cases and multiple round opaque mass lesion in one case.Conclusion The pulmonary X-ray changes of malignant malaria are varied,the common characteristic is that most of them are situated at middle and lower portion of the lungs.This may attribute to blood dynamic abnormality resulting from malaria protozoan and the pathological changes of involved tissues.