肺气肿并发肺炎的高分辨率CT表现.docVIP

肺气肿并发肺炎的高分辨率CT表现 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：肺气肿并发肺炎的高分辨率CT表现 1 1 资料与方法 2 2 结果 3 3 讨论 4 文2：小儿肺炎支原体肺炎的CT表现 6 1资料与方法 6 2 结果 7 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 10 正文 肺气肿并发肺炎的高分辨率CT表现 文1：肺气肿并发肺炎的高分辨率CT表现 ［ABSTRACT］ObjectiveTo improve the recognition of high-resolution CT （HRCT） imaging features in patients with em-physema complicated by pneumonia. MethodsClinical manifestatio and HRCT imaging features of patients with emphysema complicated by pneumonia （group Ⅰ， n =21） and of simple pneumonia （group Ⅱ， n =30） were retrospectively reviewed and com-pared. ResultsNo significant difference in terms of symptoms， sig， and results of laboratory examination was found between the two groups. Fifteen patients in group Ⅰ were smoke （71%）， five in group Ⅱ （17%）. HRCT features in group Ⅰ included mono-/poly-coolidatio with pseudo-honeycombing sig， but sign of air bronchogram was rare. While HRCT features in group Ⅱ comprised of single lobar or segmental coolidation with sign of air bronchogram， acinar nodules and ground-glass opacity. ConclusionHRCT features of emphysema patients complicated by pneumonia are different from that of simple pneumonia . The recognition of these imaging features is very important in both diagnosis and treatment of the disease. ［KEY WORDS］emphysema; pneumonia; tomography， X-ray computed 肺气肿并发肺炎与单纯肺炎的临床和X线表现不同［1］。CT广泛应用于临床后发现，肺气肿并发肺炎的CT和高分辨率CT（HRCT）表现不同于单纯肺炎，本文对一组肺气肿并发肺炎和单纯肺炎病人的CT和HRCT表现进行对比分析，旨在提高对肺气肿并发肺炎的HRCT征象的认识。 1 资料与方法 一般资料 临床确诊为肺气肿并发肺炎病人21例，男15例，女6例;年龄41～79岁，平均岁。肺气肿的诊断均符合慢性阻塞性肺疾病诊治规范［2］标准，HRCT上分为小叶中心型、全小叶型和间隔旁型3种亚型。肺炎根据临床症状、体征、影像学表现和实验室检查确诊。除外并发支气管扩张症和肺间质纤 维化者。单纯肺炎病人30例，男23例，女7例;年龄38～81岁，平均岁;无慢性支气管炎、肺气肿和其他并发症。肺炎诊断符合文献［2］标准。 检查方法由肺尖至肺底进行常规螺旋CT扫描后加做HRCT扫描或容积数据高分辨率CT重组［3］。扫描机采用GE Medical System Lightspeed 16 or 8多层螺旋CT（MSCT）机。MSCT的扫描方法为:准直 mm× mm，螺距，每圈 s， 120 kVp ，130 mA，每圈 mm，获得容积数据。然后进行两种算法重建:标准算法重建，层厚 5 mm ，间隔5 mm，视野（FOV）33 cm×33 cm，矩阵 512×512;骨算法重建，层厚 mm，层距10 mm， 所得图像为VHRCT重组图像。HRCT扫描方法:准直 mm，层距 10 mm，120