恙虫病合并心肺改变的影像学特征探讨

目的归纳恙虫病合并肺部及心脏改变影像学特征。方法分析1994年至2007年我院收住的63例恙虫病患者的X线检查。结果肺部及心脏大致正常21例；仅表现为肺纹理增多11例；支气管及肺部炎症31例。其中7例有少量胸腔积液：心影改变有15例，心电图提示有心肌损害。治疗后复查恢复正常。结论本文例数虽然较少，但可显示肺、胸腔、心脏受累的频数。这与文献报告相符，且第1周也是以肺纹理改变为主，第2周以肺部渗出、心肌损害多见。

The imaging features of tsutsugamushi disease complicated with heart and pulmonary impairment

Objective To sum up the imaging features of tsutsugamushi disease complicated with combination of heart and pulmonary changes. Methods 63 cases of tsutsugamushi disease with chest X-ray from 1994 to 2007 in our hospital were collected and analyzed. Results Roughly no abnormal findings of heart and lungs were found in 21 cases, increased lung-markings in 11 cases; bronchitis and pneumonia in 31 cases. Among them, 7 cases showed small amount of hydrothorax. 15 cases revealed some abnormality of cardiac silhouette with impairment of myocardium shown in ECG. Medical check-up of the patients after treatment found them thoroughly recovered. Conclusion Despite of few cases in this report, yet the frequency of impairment of the lungs, pleural cavity and heart was in coincidence with medical literature reported. Increased lung-markings were prominent in the first week of the disease. Pleural exudation and impairment of myocardium could be frequently found in the second week.