311例HIV/AIDS患者胸部X线平片分析

Chest X-ray Plain Film Analysis Underlying 311 Case of HIV/AIDS Patients

目的：分析HIV/AIDS患者胸部病变X 线表现,为认知和诊断艾滋病提供医疗影像依据,为临床诊治提供指导.方法：收集本地区2006年1月-2014年1月门诊及住院确诊的311例HIV/AIDS患者胸部X线片,分析其病变的X线表现.结果：患者胸部X线表现为：心肺正常124例,肺门纵隔淋巴结增大20例（淋巴瘤4例）.肺纹理增强101例,肺炎36例,肺结核27例,肺癌3例（肝癌转移2例）;结论：艾滋病患者胸部病变由呼吸道机遇性致病菌感染和AIDS相关恶性肿瘤所引起,胸部X线表现无明显特异性,为多种影像表现并存,结合临床表现和相关实验室检查,对诊断及治疗HIV/AIDS有一定参考价值.

Objective:To analyze the chest X-ray appearance of HIV/AIDS patients,so as to provide medical image basis and guidance for clinical diagnosis and treatment for HIV/AIDS patients.Methods:We collect the chest X ray films of local HIV/AIDS patients outpatient and inpatient from January 2006 to January 2014,analyze the X-ray manifestation of lesions.Results:The manifestation of chest X-ray is shown as:124cases of normal,enlargement of mediastinal lymph nodes in 20cases(lymphoma 4cases).Lung marking disorder in 101 cases,36cases of pneumonia,27 cases of tuberculosis,3cases of lung cancer(2cases of metastasis);Conclusion:The chest manifestation of HIV/AIDS patients are caused by respiratory opportunity pathogenic bacteria and AIDS related malignant tumor,the chest X-ray showed no obvious specificity,but a variety of imaging performance,it has certain reference value that combined with the clinical manifestations and related laboratory tests to the diagnosis and treatment of HIV/AIDS patients.