CAJ | 학술논문

目的探讨成人肺炎支原体肺炎的CT影像特点,指导临床对肺炎支原体肺炎的早期诊断.方法对40例经血清学证实的肺炎支原体肺炎患者的CT影像进行回顾性分析.结果在40例患者中,最常见CT表现为磨玻璃影(34/40,85.00%)及实变影(28/40,70.00%),其他表现有结节影(18/40,45.00%)、支气管血管束增粗(6/40,15.00%)、小叶间隔增厚(6/40,15.00%)、纵隔淋巴结肿大(6/40,15.00%)及胸腔积液(4/40,10.00%).病变以双肺下叶多见,多呈小叶性分布.部分患者病灶的吸收较临床表现改善慢.结论支原体肺炎的CT表现具有一定特点,对早期诊断具有一定价值.
목적 탐토성인폐염지원체폐염적CT영상특점,지도림상대폐염지원체폐염적조기진단.방법 대40례경혈청학증실적폐염지원체폐염환자적CT영상진행회고성분석.결과 재40례환자중,최상견CT표현위마파리영(34/40,85.00%)급실변영(28/40,70.00%),기타표현유결절영(18/40,45.00%)、지기관혈관속증조(6/40,15.00%)、소협간격증후(6/40,15.00%)、종격림파결종대(6/40,15.00%)급흉강적액(4/40,10.00%).병변이쌍폐하협다견,다정소협성분포.부분환자병조적흡수교림상표현개선만.결론 지원체폐염적CT표현구유일정특점,대조기진단구유일정개치.
Objective To observe the CT features of mycoplasma pneumoniae pneumonia. Methods CT features of 40 adult patients with serologically proven mycoplasma pneumoniae pneumonia were retrospectively reviewed. Results The most common CT findings of mycoplasma pneumoniae pneumonia were ground-glass opacity (34/40, 85.00%) and consolidation (28/40, 70.00%). The other findings included nodules (18/40, 45.00%), thickening of the bronchovascular bundles (6/40, 15.00%), interlobular septal thickening (6/40, 15.00%), mediastinal lymphadenopathy (6/40, 15.00%) and pleural effusion (4/40, 10.00%). Most of the ground-glass opacity and consolidation showed tendency of lobular distribution and involving the lower lobes. In some patients, the absorption of the lesions was slower than the relief of symptoms. Conclusion CT findings of mycoplasma pneumoniae pneumonia have some features, and can provide help for the diagnosis of mycoplasma pneumoniae pneumonia.