CAJ | 학술논문

目的：探讨艾滋病合并卡氏肺孢子菌肺炎的C T表现。方法搜集15例经病理、病原学检查或试验性抗肺孢子菌治疗证实的卡氏肺孢子菌肺炎患者，临床症状主要为干咳、低氧血症、进行性呼吸困难、胸痛、发热而体征轻微，血液中人类免疫缺陷病毒（H IV ）抗体检查均为阳性，分析其胸部C T检查资料。结果卡氏肺孢子菌肺炎的典型CT表现为：（1）双肺对称性、弥漫性分布磨玻璃密度影，提示实质受累，多位于肺门周围或双侧中下肺野，并逐渐向外、向上发展，从而全肺受累；（2）条索、网格及网织结节影：提示间质受累，与磨玻璃密度影分布基本一致。不典型CT表现有肺实变、肺气囊、纵隔或肺门淋巴结肿大、胸腔积液及气胸等。结论艾滋病患者出现上述CT表现及临床症状时，应考虑到合并卡氏肺孢子菌肺炎的可能性。
목적：탐토애자병합병잡씨폐포자균폐염적C T표현。방법수집15례경병리、병원학검사혹시험성항폐포자균치료증실적잡씨폐포자균폐염환자，림상증상주요위간해、저양혈증、진행성호흡곤난、흉통、발열이체정경미，혈액중인류면역결함병독（H IV ）항체검사균위양성，분석기흉부C T검사자료。결과잡씨폐포자균폐염적전형CT표현위：（1）쌍폐대칭성、미만성분포마파리밀도영，제시실질수루，다위우폐문주위혹쌍측중하폐야，병축점향외、향상발전，종이전폐수루；（2）조색、망격급망직결절영：제시간질수루，여마파리밀도영분포기본일치。불전형CT표현유폐실변、폐기낭、종격혹폐문림파결종대、흉강적액급기흉등。결론애자병환자출현상술CT표현급림상증상시，응고필도합병잡씨폐포자균폐염적가능성。
Objective To study the characteristics of computed tomography (CT ) imaging of Pneumocystis ca-rinii pneumonia(PCP) in patients with acquired immune deficiency syndrome (AIDS) .Methods A total of 15 pa-tients positive with human immunodeficiency virus (HIV) antibody and with definite diagnosis of PCP were enrolled , clinical symptoms of whom included nonproductive cough ,hypoxemia ,dyspnea ,chest pain and fever ,and characteris-tics of CT imaging were analyzed .Results The typical CT manifestations of PCP included bilateral diffuse ground glass opacity which usually located in the perihilar or bilateral middle and lower lung field ,and gradually outward and upward development ,thus the whole lung involvement and cord ,grid and reticulonodular shadow which were distrib-uted with ground glass opacity .Conclusion When patients with AIDS present above clinical symptoms and CT per-formances ,PCP should be considered .