CAJ | 학술논문

目的：：分析 HIV/AIDS 患者胸部病变 X 线表现，为认知和诊断艾滋病提供医疗影像依据，为临床诊治提供指导。方法：收集本地区2006年1月~2014年1月门诊及住院确诊的311例 HIV/AIDS 患者胸部 X 线片，分析其病变的 X 线表现。结果：患者胸部 X 线表现为：心肺正常124例，肺门纵隔淋巴结增大20例(淋巴瘤4例)。肺纹理增强101例，肺炎36例，肺结核27例，肺癌3例(肝癌转移2例)；结论：艾滋病患者胸部病变由呼吸道机遇性致病菌感染和 AIDS 相关恶性肿瘤所引起，胸部 X 线表现无明显特异性，为多种影像表现并存，结合临床表现和相关实验室检查，对诊断及治疗 HIV/AIDS 有一定参考价值。
목적：：분석 HIV/AIDS 환자흉부병변 X 선표현，위인지화진단애자병제공의료영상의거，위림상진치제공지도。방법：수집본지구2006년1월~2014년1월문진급주원학진적311례 HIV/AIDS 환자흉부 X 선편，분석기병변적 X 선표현。결과：환자흉부 X 선표현위：심폐정상124례，폐문종격림파결증대20례(림파류4례)。폐문리증강101례，폐염36례，폐결핵27례，폐암3례(간암전이2례)；결론：애자병환자흉부병변유호흡도궤우성치병균감염화 AIDS 상관악성종류소인기，흉부 X 선표현무명현특이성，위다충영상표현병존，결합림상표현화상관실험실검사，대진단급치료 HIV/AIDS 유일정삼고개치。
Objective:To analyze the chest X-ray appearance of HIV / AIDS patients,so as to provide medical image basis and guidance for clinical diagnosis and treatment for HIV/AIDS patients.Methods:We collect the chest X ray films of local HIV/AIDS patients outpatient and inpatient from January 2006 to Janu-ary 2014,analyze the X-ray manifestation of lesions.Results:The manifestation of chest X-ray is shown as:124 cases of normal,enlargement of mediastinal lymph nodes in 20 cases (lymphoma 4 cases).Lung marking disorder in 101 cases,36 cases of pneumonia,27 cases of tuberculosis,3 cases of lung cancer (2 cases of me-tastasis);Conclusion:The chest manifestation of HIV/AIDS patients are caused by respiratory opportunity pathogenic bacteria and AIDS related malignant tumor,the chest X-ray showed no obvious specificity,but a variety of imaging performance,it has certain reference value that combined with the clinical manifestations and related laboratory tests to the diagnosis and treatment of HIV/AIDS patients.