流行性感冒合并肺炎患者的影像学特征分析

Analysis of imaging characteristics of patients with influenza and pneumonia

目的探讨流行性感冒合并肺炎患者的影像学特征。方法选择2010年1月至2016年12月我院收治的临床确诊为流行性感冒合并肺炎患者50例为研究对象,均接受常规影像学检查,分析患者的临床资料及常规影像学特征。结果 X线检查结果显示,50例患者中,有12例患者显示为单肺斑片状影,38例患者显示为肺纹理增多。CT检查结果显示,有23例患者显示为双侧肺部炎性渗出影,14例患者显示为单侧肺部炎性渗出影,8例患者显示为弥漫性棉絮状病变,5例患者显示为实质间质混合渗出。23例流行性感冒合并肺炎患者出院1个月的胸部CT检查结果显示,完全恢复正常15例,斑片状密度增高影6例(出院2个月后胸部CT复查结果显示已完全吸收),纤维条索影2例。结论流行性感冒合并肺炎具有一定的影像学表现特点,包括单侧或双侧肺部炎性渗出、弥漫性棉絮状病变及实质间质混合渗出等,综合分析影像学表现与临床实验室检查结果,可以为临床诊断与治疗该疾病提供有效的参考辅助依据。

Objective To investigate the imaging characteristics of patients with influenza amd pneumonia. Methods From January 2010 to December 2016, 50 patients with influenza and pneumonia diagnosed by clinical diagnosis were selected as study objects. All of them underwent routine imaging examination, and the clinical data and routine imaging features were analyzed. Results X-ray examination result showed that there were 12 patients with single pulmonary patchy shadow and 38 patients with increased pulmonary texture in 50 cases. CT examination result showed that there were 23 patients with bilateral pulmonary inflammatory exudation, 14 patients with unilateral pulmonary inflammatory exudation, 8 patients with diffuse cotton flocculent lesions and 5 patients with mixed exudation of parenchymal stroma.CT examination of 23 patients with influenza and pneumonia after discharge for one month showed that there were 15 cases of them recovered completely, 6 cases with patchy density enhancement(thoracic CT re-examination after discharge for 2 months showed complete absorption), and 2 cases with fibrous strand shadow. Conclusion Influenza and pneumonia has certain imaging characteristics, including unilateral or bilateral inflammatory exudation, diffuse cotton flocculent lesions and mixed exudation of parenchymal stroma, etc. The comprehensive analysis of imaging manifestations and clinical laboratory examination results can provide effective reference and auxiliary basis for diagnosis and treatment the disease in clinic.