HIV 阴性卡氏肺囊虫肺炎的影像学表现 - 大连医科大学学报.PDF

大连医科大学学报 飞((\\.3(\ N(\.4 练到卷号和ι 军民 2008 年8 月 Journal of Dalian Medical University Aug. 2008 HIV 阴性卡氏肺囊虫肺炎的影像学表现 于凤凯刘铁利2 隋如新l (1.大连市第三人民医院，辽宁大连 116033; 2 大连医科大学医学影像系，辽宁大连 116044) 摘要: [目的]探讨 HIV 阴性卡氏肺囊虫肺炎的影学像表现，提高鉴别诊断水平。[方法]收集经病理证实的 HIV 阴 性卡氏肺囊虫肺炎7 例，其中肾移植术后患者5 例，白血病化疗患者2 例，均摄胸部 X 线片，3 例行胸部 CT 扫描。 [结果]7例均表现为双侧对称或不对称病变，1 例为两肺均匀性、完全性实变，其内见支气管气像，3 例呈网状结节 影及斑片状彰，部分融合成片状模糊阴影;3 例表现为遍布全肺的浓密的云团状阴影，CT 示肺内毛玻璃祥、片状影 以及和正常肺与病变组织交织嵌合构成马赛克图形。[结论]卡氏肺囊虫肺炎的影像表现呈多样性，X 线胸片对本 病的诊断有重要价值，最终确诊有赖于病理检查。 关键词:肺炎;卡氏肺囊虫;影像学表现 中图分类号:R814 文献标志码:A 文章编号:1671 -7295(2008)04 -0372-03 Imaging manifestations of pneumocystis carinii pneumonia with HIV ( - ) 1 2 1 YU Feng - kai ,LIU Tie -li ,SUI Ru - xin (1. Depαrtment 0/ Rαdiology , the Third People s Hospital 0/ Dalian , Dalian 116033 , Chinα; 2. Depαrt­ ment 0/ Medical 1mαg~晤 ， Dalian Medical University , Dαlian 116044 , Chinα) Abstract: [Objective ] To investigate the imaging manifestations of pneumocystis carinii pneumonia (PCP) with negative HIV. [ MethodsJ Seven cases with pathologically proved PCP were collected. 5 cases of patients after renal transplantation , 2 cases of leukemia after chemotherapy , chest radiography was performed in all 7 cases , while additional chest CT scanning was done in 3 ones. [Results ] On plain chest radiograph , total 7 cases appeared symmetrical or asymmetrical lesions in both lungs. There was complete consolidation with air bronchogram in one case; netlike and no