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肺炎衣原体肺炎的影像分析
引用本文:陈文清,刘光洪,邢增宝. 肺炎衣原体肺炎的影像分析[J]. 海南医学, 2003, 14(4): 12-13
作者姓名:陈文清  刘光洪  邢增宝
作者单位:海南省人民医院放射科,海口,570102
摘    要:目的:探讨肺炎衣原体肺炎(Chlamydia pneuoniae pneumonia,CPP)的认识和诊断水平。方法:89例经体外扩增DNA的PCR技术证实的CPP,回顾分析了所有病例的胸部平片或/和CT及高分辨率CT(High-Resolution CT,HRCT)。结果:CPP的影像表现:间质浸润型48例(53.9%);实质浸润型20例(22.5%);混合型12例(13.5%),无影像改变9例(10.1%),其中,伴有胸膜反应7例(7.95),伴有肺门淋巴结肿大16例(18.0%);结论:支原体肺炎影像表现缺乏特异性,主要为间质浸润型或/和实质浸润型并存,确诊依靠实验检查。

关 键 词:肺炎衣原体肺炎 X线 计算机体层摄影术 诊断

Clinical Image Analysis of Chiamydia Pneumoniae Pneumonia
CHEN Wenqing,LIU Guanghong,XING Zengbao. Clinical Image Analysis of Chiamydia Pneumoniae Pneumonia[J]. Hainan Medical Journal, 2003, 14(4): 12-13
Authors:CHEN Wenqing  LIU Guanghong  XING Zengbao
Affiliation:CHEN Wenqing,LIU Guanghong,XING Zengbao.Department of Radiology,Hannan Provincial People's Hospital,Haikou 570311,China
Abstract:Objective: To improve understanding and diagnostic ability of Chiamydia Pneumoniae Pneumonia(CPP).Methods:The chest film or/and CT,HRCT were performed in 89 patients with CPP proven by PCR. Results: the image manifestations of CPP were as follows:Pulmonary interstitial infiltration(48 cases,53.9%),parenchymatous infiltration(20 cases,22.5%)and mixed pattern(12 cases,13.5%)and unchangeable image(9 cases,10.1%).of them,with pleurisy(7 cases,7.9%),the hila lymph node enlargement(16 cases,18.0%) Conclusion:The image presentations of CPP is a variety,mainly with pulmonary interstitial infiltration and parenchymatous infiltration.Correct diagnosis depends on laboratory results.
Keywords:Chiamydia Pneumoniae Pneumonia X-ray Computed Tomography
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