AIDS合并卡氏肺囊虫肺炎的螺旋CT表现及鉴别诊断分析

目的探讨艾滋病(AIDS)合并卡氏肺囊虫肺炎(PCP)的螺旋CT表现及鉴别诊断。方法对我院经临床及病理证实的62例AIDS合并PCP患者的螺旋CT影像学资料进行回顾性分析,并对其影像学特点进行分析总结。结果 62例患者螺旋CT表现为磨玻璃状影62例(100%),肺泡实变影20例(32.26%),间质型实变影19例(30.65%),网织结节影14例(22.58%),肺气囊9例(14.52%)。少见的合并表现为粟粒样改变、纵隔或肺门淋巴结肿大、气胸、胸腔积液、心包积液。结论双肺磨玻璃状影、肺泡实变影、间质型实变影、网织结节影是AIDS合并PCP的特征性表现,AIDS患者在合并上述CT征象时,应考虑可能合并PCP,并及时给予确认及早期治疗。

AIDS Combined Pneumocystis Carinii Pneumonia Spiral CT Findings and Differential Diagnosis Analysis

Objective To investigate CT findings and differential diagnosis of AIDS combined combined pneumocystis carinii pneumonia spiral.Methods Spiral CT imaging data of 62 cases of AIDS patients with PCP combined helical CT imaging confirmed by clinical and pathology in our hospital were retrospectively analyzed.Results 62 patients spiral CT showed ground glass Movies 62 cases (100％),alveolar opacities 20 cases (32.26％),interstitial opacities 19 cases (30.65％),reticulocyte nodules 14 cases (22.58％),pulmonary balloon 9 cases (14.52％).Rare combined performance of miliary changes,mediastinal or hilar lymphadenopathy,pneumothorax,pleural effusion,pericardial effusion.Conclusion Lung ground glass shadow,alveolar opacities,interstitial opacities,reticular nodules PCP in AIDS patients is characteristic manifestation,AIDS patients when combined CT signs above,should consider the possible merger PCP,and timely recognition and early treatment.