大叶性肺炎治疗前后胸部CT平扫特征对比分析

Study of the Value of CT in the Diagnosis of Lobar Pneumonia

目的探讨CT扫描在分析大叶性肺炎治疗效果中的临床诊断价值。方法回顾性分析我院2014年1月-2016年1月期间接收确诊并治疗的67例大叶性肺炎患者的CT检查资料,分析不同时期大叶性肺炎的的CT影像特征。结果本组67例患者仅7例为双肺均受累,占10.4%。又以右肺为主有45例,左肺共29例。67例患者中14例处在渗出期,48例处在实变期,还有5例处在消散期。9名患者在一周内可见高密度阴影的明显缩小,52例患者在2周后的高密度阴影缩小达到70%以上,56例患者在第3周高密度阴影基本消失,4周后所有患者均显示高密度阴影消。结论利用CT扫描检查大叶性肺炎时可以发现病变部位以及阶段对治疗起到很好的指导作用,在患者治疗阶段根据CT影像特征能很好的确定患者治疗情况,对后期病情的针对性治疗可以起到很好的指导性作用,值得进一步推广和应用。

Objective To investigate the clinical vatue of CT in tile therapy of lobar pneumonia. Methods Retrospective analysis of CT data of 67 patients with lobar pneunmonia in our hospital from January 2014 to January 2016. And comprehensive analysis of the CT imaging features. Results Among 67 patients, only 7 cases （10.4%） are double lung involved, 45 cases of right lung mostly involved, the right hmg has 29 cases. There were 14 cases in the stage of exudation, 48 cases in the period of change, and 5 cases in dissipation period. The visible shadow with high density of 9 cases was significantly reduced within a week, shadow with high density of 52 patients was reduced to 70% after 2 weeks, the high density shadow of 56 patients disappeared after the 3 week, and high density shadow of 4 cases eliminated after 4 weeks. Conclusion The use of CT scanning can ascertain the lesion type of lobar pneumonia and determine the location and size of lesions, and utilize to the characteristics of CT scanning image to understand the stage of lobar pneumonia. It has significance clinical value in localization and qualitative of lobar pnenmonia, displaying a very good rote in guiding the condition treatment, which is worthy of further promotion and application.