国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2015年
4期
253-256
,共4页
叶涛%杨杰%杨声灼%吴惠凤
葉濤%楊傑%楊聲灼%吳惠鳳
협도%양걸%양성작%오혜봉
获得性免疫缺陷综合征%CD4+T 细胞%放射学%肺
穫得性免疫缺陷綜閤徵%CD4+T 細胞%放射學%肺
획득성면역결함종합정%CD4+T 세포%방사학%폐
Acquired immune deficiency syndrome%CD4 + T lymphocytes%Radiology%Lung
目的：探讨艾滋病患者感染不同病原体后胸部 CT 特征、CD4+ T 细胞计数相关性。方法回顾性分析我院收治的70例感染不同病原体的艾滋病患者胸部 CT 影像特征、CD4+ T 细胞计数检测结果。结果70例患者胸部 CT 显示病变范围：单肺分布(11例,15.7%)、双肺分布(34例,48.6%)、弥漫分布(20例,28.6%)。 影 像 特征 前 5 位：胸内淋巴结肿大(45例,64.3%)、斑片状影(39例,55.7%)、磨玻璃影(21例,30.0%)、胸膜肥厚或胸腔积液(15例,21.4%)、结节影(10例,14.3%)。分组后 CD4+ T 细胞计数≤50个/μl 组的弥漫分布、结节影比率则显著高于50个/μl<CD4+ T 细胞计数<100个/μl 及≥100个/μl 两组,按感染不同病原体分组后发现单肺分布、弥漫分布、斑片状影、树芽征、胸内淋巴结肿大、结节影、空洞具有显著差异。结论艾滋病患者胸部 CT 特征及 CD4+ T 细胞计数提示病原体种类,因此了解艾滋病胸部 CT 的特征、CD4+ T 细胞计数,有利于对病原体感染的早期诊断、治疗。
目的：探討艾滋病患者感染不同病原體後胸部 CT 特徵、CD4+ T 細胞計數相關性。方法迴顧性分析我院收治的70例感染不同病原體的艾滋病患者胸部 CT 影像特徵、CD4+ T 細胞計數檢測結果。結果70例患者胸部 CT 顯示病變範圍：單肺分佈(11例,15.7%)、雙肺分佈(34例,48.6%)、瀰漫分佈(20例,28.6%)。 影 像 特徵 前 5 位：胸內淋巴結腫大(45例,64.3%)、斑片狀影(39例,55.7%)、磨玻璃影(21例,30.0%)、胸膜肥厚或胸腔積液(15例,21.4%)、結節影(10例,14.3%)。分組後 CD4+ T 細胞計數≤50箇/μl 組的瀰漫分佈、結節影比率則顯著高于50箇/μl<CD4+ T 細胞計數<100箇/μl 及≥100箇/μl 兩組,按感染不同病原體分組後髮現單肺分佈、瀰漫分佈、斑片狀影、樹芽徵、胸內淋巴結腫大、結節影、空洞具有顯著差異。結論艾滋病患者胸部 CT 特徵及 CD4+ T 細胞計數提示病原體種類,因此瞭解艾滋病胸部 CT 的特徵、CD4+ T 細胞計數,有利于對病原體感染的早期診斷、治療。
목적：탐토애자병환자감염불동병원체후흉부 CT 특정、CD4+ T 세포계수상관성。방법회고성분석아원수치적70례감염불동병원체적애자병환자흉부 CT 영상특정、CD4+ T 세포계수검측결과。결과70례환자흉부 CT 현시병변범위：단폐분포(11례,15.7%)、쌍폐분포(34례,48.6%)、미만분포(20례,28.6%)。 영 상 특정 전 5 위：흉내림파결종대(45례,64.3%)、반편상영(39례,55.7%)、마파리영(21례,30.0%)、흉막비후혹흉강적액(15례,21.4%)、결절영(10례,14.3%)。분조후 CD4+ T 세포계수≤50개/μl 조적미만분포、결절영비솔칙현저고우50개/μl<CD4+ T 세포계수<100개/μl 급≥100개/μl 량조,안감염불동병원체분조후발현단폐분포、미만분포、반편상영、수아정、흉내림파결종대、결절영、공동구유현저차이。결론애자병환자흉부 CT 특정급 CD4+ T 세포계수제시병원체충류,인차료해애자병흉부 CT 적특정、CD4+ T 세포계수,유리우대병원체감염적조기진단、치료。
Objective To investigate the correlation of chest CT features and CD4 + T lymphocyte count after patients with acquired immune deficiency syndrome (AIDS ) were infected by different pathogens.Methods A retrospective analysis on the chest CT image features and CD4 + T lymphocyte count in 70 cases of AIDS who were infected by different pathogens in our hospital was conducted. Results The chest CT in 70 cases of AIDS showed single lung distribution (1 1 cases,1 5.7%),double lung distribution (34 cases,48.6%),and diffuse distribution (20 cases,28.6%).The top five image features were intrathoracic lymphadenectasis (45 cases,64.3%),patchy shadows (39 cases,55.7%), ground glass opacity (21 cases,30.0%),pleural thickening or pleural effusion (1 5 cases,21.4%),and nodule (10 cases,14.3%).The incidence of diffuse distribution and nodules in CD4+ T lymphocyte count ≤50/μl group was significantly higher than that in 50/μl < CD4 + T lymphocyte count < 100/μl group and ≥100/μl group.There were significant differences in single lung distribution,diffuse distribution, patchy shadows,tree-in-bud,intrathoracic lymphadenectasis,nodules,and cavity among different pathogen groups.Conclusions The chest CT features and CD4 + T lymphocyte count in AIDS patients suggest pathogenic species.Therefore,it is helpful for the early diagnosis and treatment of pathogens infection to understand the chest CT characteristic and CD4 + T lymphocyte count in AIDS patients.
