摘要
目的:探讨慢性肾脏病合并肺孢子菌肺炎( PCP)的胸部CT表现特点。方法回顾分析2006年1月~2014年2月医院肾内科确诊的23例慢性肾脏病合并肺孢子菌患者的胸部CT影像资料。结果23例慢性肾脏病合并PCP患者的胸部CT表现主要有:斑片结节影、磨玻璃影、肺实变、肺气囊、纤维网格影、纵隔淋巴结肿大、胸腔积液。病变可表现为两肺或单侧肺。疾病早期以斑片结节影为主,逐渐进展呈弥漫磨玻璃及肺实变,伴有纤维网格影。结论慢性肾脏病合并肺孢子菌患者的胸部CT表现具有一定的特征性,对于该病的诊断具有明显的价值。
Objective To investigate the CT imaging features of pneumocystis pneumonia ( PCP ) in patients with chronic kidney diseases .Methods The CT images of 23 patients with PCP in chronic kidney diseases were analyzed retrospectively .Re-sults The CT images of PCP were shown as follous: patchy shadows and nodules , ground glass opacity , pulmonary consolida-tion, air containing cystic pattern, Fiber grid shadow, Mediastinal lymph node enlargement , angpleural effusion.The lesions pro-gressed gradually to diffuse ground glass and consolidation of the lung .Conclusion The CT images of PCP patients with chronic kidney diseases has its unique characteristics ,which has obvious value for the diagnosis of the disease .
出处
《医学影像学杂志》
2016年第3期439-441,共3页
Journal of Medical Imaging