肺隐球菌病临床与X线诊断

Clinical and X-ray Diagnosis of the Pulmonary Cryptococcosis

目的,旨在提高肺隐球菌病临床与X线诊断水平。材料与方法:本文收集10例肺隐球菌病包括男5例,女5例,平均年龄41岁,平均病程9个月,10例均经痰培养和/或病理证实为肺隐球菌病。全部病人采用胸部正侧位X线检查。结果,本组10例肺隐球菌病X线表现多样,依其形态分为:(1)结节型5例,(2)节段性浸润型2例;(3)支气管肺炎型3例。伴随病变:结核1例,慢支炎、肺气肿1例,脑膜炎2例。结论:熟练掌握肺隐球菌病临床与X线表现特点,是提高诊断水平的关键。呼吸道症状典型的年青患者,要排除艾滋病的合并症。

Purpose: To increase the quality of the clinico-radiological diagnosis of pulmonary cryptococcosis. Materials and methods- Retrospective analysis of 10 cases of pulmonary cryptococcosis on frontal and lateral chest radiograms were reported (male, 5; female,5; mean age, 41 yr. ; duration of disease 9 months in the average). All cases were proved by sputum culture and (or) pathology. The X-ray patterns of 10 cases were classified into the following 3 types; (1)nodular type 5 cases; (2)segmental infiltration type 2 cases; (3)broncho-pneumonic thpe 3 cases. The differential diagnosis included tuberculosis, lungs cancer, etc. Conclusion: Acquainting with the clinical and roentgenological characteristics of pulmonary cryptococcosis is the method for increasing the quality for diagnosis. AIDS should be excluded when younger patient sustatined typical respiratory symptoms and signs.