修翻译呼吸肺炎支扩6_培训课件.pptVIP

Loeffler‘s Syndrome (simple pulmonary eosinophilia)： 39 / male Incidental solitary pulmonary nodule detected on chest CT. The second CT image obtained 1 month later shows ?complete disappearance of the nodule （三）肺脓肿 （Lung abscess) 1、病因及病理：etiological factor and pathology 化脓菌通过血液，外界吸入或邻近化脓灶直接蔓延到达肺部 pyogenic bacterium arrive in the lung by blood,outside obsorption or direct spread of adjacent suppuration 引起急性化脓炎症进而坏死、液化 cause acute supprative inflammation and necrosis,colliquation following 咳出液化物形成空洞则成肺脓肿 expectorate the colliquation cause cavity and lung abscess 2.临床： （1）高热、咳嗽 ardent fever,cough 咳大量臭脓痰或血，胸痛 expectorate mass purulent sputum or blood ,chest pain （2）慢性者呈消耗体质,反复发烧 the chronic sufferer is wasting state 咳脓痰和杵状指（趾）等 vomica and achropachy 3.X线、CT表现: （1）吸入性：aspiration ①急性肺脓肿 : acute lung abscess 肺内出现大片状阴影，占据一叶或一段，边界模糊 great lamellar shadow in the lung and occupy lobi or segment of lung with obscure border 早期密度较均匀 uniform density at early stage 病变进展：progression阴影中心出现透明空洞影 洞壁厚而不规整、边界模糊 the cavity wall is thick and irregular and obscure of the border 洞内有液平面 liquid flat in the cavity 如引流支气管活瓣阻塞、空洞迅速增大 The cavity augment rapidly if the drainage bronchi valve obstructed ②慢性肺脓肿 : chronic lung abscess 空洞壁厚而内外较光整，呈圆、椭圆或不规则形，有或 无液平面 The cavity wall is thick and smooth of inside and outside.it is rotate ,ellipse or irregular shape .it has liquid flat or not 洞周可有条索或斑片状影 streak or patchy shadow around the cavity 空洞有时呈多房状，造影可显示支扩 the cavity is multilocular sometimes and visualization may show bronchiectasis 常伴发胸膜肥厚，积液或肋骨增生 pleural thickening and effusion or costa proliferation （2）血源性：hematogenous 似化脓性肺炎 apostematosa pneumonia 两肺出现大小不等、边界模糊或清楚的斑片状阴影 patchy shadow of abnormal size ,obscure or clear border in both lung 常伴有空洞 simultaneous cavity （3）直接蔓延：direct spread ①可见膈下或肝脓肿表现 subdiaphragmatic or hepatic abscess ②膈面附近肺内大片致密影，空洞及胸膜增厚、 粘连、钙化 Mass high density lesion in the lung near facies diaphragmatica,cavity and pleural thickening,