CAJ | 학술논문

目的：探讨HIV并胸部马红球菌病影像动态变化特点。方法分析由细菌学或病理证实HIV并胸部马红球菌病14例，经2-4次X线摄影及2-3次计算机体层摄影影像图片进行动态观察。结果随访观察时间1~12个月，平均4.3个月。肺实变病灶12例，病灶范围消散50%以上6例，消散50%以下4例，无变化1例，肺实变范围增大1例。空洞12例，完全闭合1例，空洞缩小10例，空洞融合成大空洞1例。结节病灶14例，结节病灶数量消散50%以上5例，消散小于50%，大于1%7例，结节数量无变化1例，结节数量增多1例。结论 HIV并胸部马红球菌病影像表现多为实变、空洞、结节灶；结合临床病史、不同时期影像表现的特点，大部分HIV并胸部马红球菌病可以明确诊断。
목적：탐토HIV병흉부마홍구균병영상동태변화특점。방법분석유세균학혹병리증실HIV병흉부마홍구균병14례，경2-4차X선섭영급2-3차계산궤체층섭영영상도편진행동태관찰。결과수방관찰시간1~12개월，평균4.3개월。폐실변병조12례，병조범위소산50%이상6례，소산50%이하4례，무변화1례，폐실변범위증대1례。공동12례，완전폐합1례，공동축소10례，공동융합성대공동1례。결절병조14례，결절병조수량소산50%이상5례，소산소우50%，대우1%7례，결절수량무변화1례，결절수량증다1례。결론 HIV병흉부마홍구균병영상표현다위실변、공동、결절조；결합림상병사、불동시기영상표현적특점，대부분HIV병흉부마홍구균병가이명학진단。
Objective To study the dynamic characteristics of HIV patients complicated with chest rhodo-coccus equi disease. Methods The clinical data of 14 HIV patients complicated with chest rhodococcus equi disease were retrospective analyzed. They were given 2 to 4 times of X-ray radiography and 2 -3 times of computed tomo-graphy. Results They were followed-up 1-12 months, with an average of 4. 3 months. There were 12 cases of con-solidation of lung lesions, including 6 cases of the scope of consolidation of lung lesions dissipated more than 50%, 4 cases of dissipate below 50%, 1 case without change and 1 case of pulmonary consolidation scope enlargement. There were 12 cases of cavitates, including 1 completely closed case, 10 cases of narrow hole and 1 case of big cabitate.There were 14 cases of nodules. Conclusion The images of HIV patients complicated with chest rhodococcus equi disease show consolidation, hollow, and nodules.