中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
12期
105-105,107
,共2页
病毒性肺炎%CT表现%磨玻璃影%碎石征%胸腔积液
病毒性肺炎%CT錶現%磨玻璃影%碎石徵%胸腔積液
병독성폐염%CT표현%마파리영%쇄석정%흉강적액
Viral pneumonia%CT manifestation%Ground glass opacity%Gravel syndrome%Pleural effusion
目的：总结病毒性肺炎胸部CT表现特点，进一步提高CT诊断水平。方法：2013年1月-2014年1月收治病毒性肺炎患者50例，所有患者均使用GE多排螺旋CT机进行检查和分析。结果：肺炎发生在左肺19例(38.0%)，右肺22例(44.0%)，双肺均有病变9例(18.0%)。肺炎形态表现统计，50例患者发生≥2种形态改变，其中表现为支气管血管束增粗12例，条索影14例，胸膜下网状影1例，小结节影12例，大片状实变影10例，支气管气象30例，碎石征26例，磨玻璃影41例。伴随改变表现为腋窝淋巴结增大6例，纵膈淋巴结增大8例，肺门增大6例，肺门影增宽、密度增强。右侧气胸1例，胸膜肥厚6例，胸腔积液22例，其中双侧均有胸腔积液16例，单侧胸腔积液6例。结论：病毒性肺炎CT主要表现为磨玻璃影及碎石征，而且多伴有胸腔积液。
目的：總結病毒性肺炎胸部CT錶現特點，進一步提高CT診斷水平。方法：2013年1月-2014年1月收治病毒性肺炎患者50例，所有患者均使用GE多排螺鏇CT機進行檢查和分析。結果：肺炎髮生在左肺19例(38.0%)，右肺22例(44.0%)，雙肺均有病變9例(18.0%)。肺炎形態錶現統計，50例患者髮生≥2種形態改變，其中錶現為支氣管血管束增粗12例，條索影14例，胸膜下網狀影1例，小結節影12例，大片狀實變影10例，支氣管氣象30例，碎石徵26例，磨玻璃影41例。伴隨改變錶現為腋窩淋巴結增大6例，縱膈淋巴結增大8例，肺門增大6例，肺門影增寬、密度增彊。右側氣胸1例，胸膜肥厚6例，胸腔積液22例，其中雙側均有胸腔積液16例，單側胸腔積液6例。結論：病毒性肺炎CT主要錶現為磨玻璃影及碎石徵，而且多伴有胸腔積液。
목적：총결병독성폐염흉부CT표현특점，진일보제고CT진단수평。방법：2013년1월-2014년1월수치병독성폐염환자50례，소유환자균사용GE다배라선CT궤진행검사화분석。결과：폐염발생재좌폐19례(38.0%)，우폐22례(44.0%)，쌍폐균유병변9례(18.0%)。폐염형태표현통계，50례환자발생≥2충형태개변，기중표현위지기관혈관속증조12례，조색영14례，흉막하망상영1례，소결절영12례，대편상실변영10례，지기관기상30례，쇄석정26례，마파리영41례。반수개변표현위액와림파결증대6례，종격림파결증대8례，폐문증대6례，폐문영증관、밀도증강。우측기흉1례，흉막비후6례，흉강적액22례，기중쌍측균유흉강적액16례，단측흉강적액6례。결론：병독성폐염CT주요표현위마파리영급쇄석정，이차다반유흉강적액。
Objective:To summary chest CT characteristics of viral pneumonia,and to further improve the CT diagnosis.Methods:50 patients with viral pneumonia were selected from January 2013 to January 2014.All patients were examined and analyzed by the GE multi row spiral CT.Results:Pathological location:19 cases(38%) of pneumonia occurred in the left lung in,22 cases(44%) were the right lung,9 cases(18% ) were double lung.Pneumonia form performance:50 patients had more than 2 kinds of morphological changes,among 12 cases were bronchial enlargement of blood vessel bundle,14 cases were core,1 case were subpleural reticular opacities,12 cases were nodules shadow,10 cases were large sheet consolidation shadows,30 cases were air bronchogram,26 cases were gravel syndrome,41 cases were ground-glass opacity.With the change:6 cases were the performance of axillary lymph node enlargement,8 cases were mediastinal lymph node enlargement,6 cases were pulmonary hilar enlargement, lung shadow broadening,enhanced density.1 case was right pneumothorax,6 cases were pleural thickening,22 cases were pleural effusion,among 16 cases were bilateral pleural effusion,6 cases were unilateral pleural effusion.Conclusion:The main manifestations of viral pneumonia CT mainly were ground glass opacity and gravel syndrome,and many with pleural effusion.
