CAJ | 학술논문

目的：观察并分析艾滋病（AIDS）合并卡氏肺孢子虫肺炎（PCP）的临床特点和影像学表现，总结诊断经验，减少误诊。方法对2例AIDS 合并 PCP 的患者进行回顾性分析，并进行文献复习。结果1例患者入院胸部 CT 示两肺炎症，经复方磺胺甲噁唑片（SMZ）治疗，最终死于呼吸衰竭；1例患者入院胸部 CT 示双上肺及右中肺炎性改变，经 SMZ 及氟康唑治疗，最终肺部病灶吸收，好转出院。结论胸部 CT 有助于提高 AIDS合并 PCP 患者早期诊断率，降低病死率。
목적：관찰병분석애자병（AIDS）합병잡씨폐포자충폐염（PCP）적림상특점화영상학표현，총결진단경험，감소오진。방법대2례AIDS 합병 PCP 적환자진행회고성분석，병진행문헌복습。결과1례환자입원흉부 CT 시량폐염증，경복방광알갑오서편（SMZ）치료，최종사우호흡쇠갈；1례환자입원흉부 CT 시쌍상폐급우중폐염성개변，경 SMZ 급불강서치료，최종폐부병조흡수，호전출원。결론흉부 CT 유조우제고 AIDS합병 PCP 환자조기진단솔，강저병사솔。
Objective To investigate the clinical characteristic and digital image of acquired immune deficiency syndrome(AIDS)with pneumocystis carinii pneumonia(PCP),and to summarize the diagnose experience to reduce diagnostic errors. Methods The clinical data of 2 patients with acquired immune deficiency syndrome(AIDS)and pneumocystis carinii pneumonia(PCP)was retrospectively analyzed and the literatures were reviewed. Results The CT image of one patient showed that pneumonia symptoms in both lungs,the patient was given SMZ treatment,however he was finally died of respiratory failure. The CT image of the other patient showed that pneumonia symptoms in the superior of both lungs and the right and centre lung,the patient was given SMZ and fluconazole treatment,and he finally improved and recovered. Conclusion Chest CT is helpful for the early diagnosis of AIDS with PCP,reducing the case fatality rate.