非严重免疫缺陷病人肺曲霉菌病的CT表现.pdfVIP

军医进修学院学报 J Chine-e FLA P08tErad Med sch May 2011 ,32(5 .451 • 非严重免疫缺陷病人肺曲骂菌病的 CT 表现 胡畔，余丹阳，陈良安 解放平总医院呼吸科，北京 100853 摘要:目的探讨非严重免疫缺陷病人肺曲菌病胸部CT 影像学特点。方法回顾性分析2∞5 年8 月 -2010 年8 月本院25 例经病理和临床诊断肺曲霉菌辅且非严重免疫缺陷患者的影像资料，胸部CT 表现和特点。结果影像学发现多样化，其中 12 例为伴空气新月征或空洞的结节样病变， 6 例为局限的或多发的不规则软组织阴影，实变反腐玻璃改变6 例， 2 例 两肺呈播散性病灶， ll 例病灶及周围散在钙化影。结论非免疫缺陷病人肺曲菌病CT 影像以局限或多发的不规则结节影 周边伴磨玻璃戒斑片样渗出以及赞气新月征或空搁多见，影像学诊断播与炎症、肿瘤、结核相鉴别，确珍依靠肺活检。 关键词:肺曲睡前病;非严意免疫缺陷; CT 中图分类号: R445.3 文献标识码 :A 文:;:编号: 1∞5-1 139(201l )O5-()451 --O3 CT findings of pulmonary aspergillosis in patients with DOn-SeVere immunologic deficiency HU 币， SHEDan-y削g， CHEN Liang-an D叩artment of Respiraωry Di侃侃es， Chinese PLA General 日。spi时， Be划ing 1∞853，China Corresponding author: CH巴N Liang幽.巴:mail: chenla301@263.ωm Abstract: Objective To observe the chest CT features of pulmonary aspergil10sis in patients with non-severe immunologic deficiency. Methods Chest cr findings and features of pulmonary aspergillosis diagnosed in our hospîtal 衍。mAu阴st 21∞5ω Au伊st 2010 阻挡 patients wîth non-severe immunologic deficiency were retrospectively analyzed. ωu1ts Of 伽e 25 patients wi由 different cr findings , 12 were found ωhave 础αesent si伊 or cavity-lik.e nodular lesions , 6 had locaI or multiple 80ft tissue shadows with irregular sha阴珉， 2 had disseminaωdtl∞i，相d 11 had sporadic caIcification. Concl剧iOB cr findings of pulmonary ωpergillosis in patients with non-severe immunologic deficiency include local or muitîple nodular lesions with 凶e阴lar sb句制， groundglωs opacities, patchy a饥enuations，柑αesent sign or 创:vity. 趴.lImonary as阴暗访losis in pa胁nts with no胁severe immunologic deficiency should be discrimina协dwî也 inftammation， tumors , and tuberculosis. Its final diagnosis depends on lung biopsy. Key words: Pulmonary Asper骂illosis; Non-Severe Immune Detì时t;cr 肺曲霉菌脚(Pulmonary 幽pergillosis) 是少见的 免疫抑制剂、 30d 内接受糖皮质激素泊丹、严盘创 J3.极易被误