30例急性单发性球形肺炎的临床与CT特点

目的　通过分析 3 0例急性单发性球形肺炎的临床与CT特点 ,提高与周围性肺癌的鉴别能力。方法　对 3 0例住院患者 ,入院后均行胸片、胸部CT、纤维支气管镜检查及痰涂片、痰细菌培养等检查。结果　痰细菌培养均为细菌感染 ,胸片、胸部CT显示病灶为贴近胸膜或沿支气管血管束分布占 70 .0 0 % ;分布在两肺下叶背段或后基底段占 60 .0 0 %。病灶直径 2 .0～ 4.5cm 2 4例 ,占 80 .0 0 % ,2 5例患者经抗炎治疗病灶完全吸收。结论　抗炎治疗是动态观察单发性球形肺炎病灶变化的一种有效方法。

Clinical and CT features of acute single tumid pneumonitis from 30 patients

Objective To improve the identification ability by analysing the clinical and CT features of acute single tumid pneumonitis from 30 patients. Methods 30 hospitalized patients had received chest X-ray, chest CT, fiber endoscope, sputum smear and sputum culture examinations. Results The outcome of sputum culture indicated cells infected; the chest plain film and CT showed that the foci located closely to pleurae or covered over 70.00% of the bronchi blood vessel, 60.00% distributed at the back or base of the low lungs. The foci diameters were within 2.0～4.5cm in 24 cases, which was 80.00%. The foci in 25 cases were completely absorbed after anti-inflammatory treatment. Conclusion The anti-inflammatory treatment is an effective way for dynamic observation of the changes of single tumid pneumonitis foci.