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目的通过研究艾滋病合并卡氏肺孢子虫肺炎的CT表现特点,提高艾滋病合并卡氏肺孢子虫肺炎的CT诊断水平。方法回顾性的分析我院收治的30例经临床及病理证实的卡氏肺孢子虫肺炎患者的胸部CT表现。结果双肺弥漫性渗出性毛玻璃样改变21例(占70%),呈索条伴网状纤维影的16例(占53.3%),呈结节状及斑片影5例(占16.7%),肺门淋巴结增大、肺囊性病变、胸腔积液及肺不张等改变4例(占13.3%)。结论毛玻璃样改变、索条伴网状纤维影、结节状及斑片影是艾滋病合并卡氏肺孢子虫肺炎CT的特征表现,对艾滋病合并卡氏肺孢子虫肺炎的诊断具有重要临床价值。
Objective To study the CT features of pneumocystis carinii pneumonia complicated with AIDS and to improve the CT diagnosis of Pneumocystis carinii pneumonia with AIDS. Methods The CT findings of thoracic cavity in 30 patients with clinically and pathologically confirmed Pneumocystis carinii pneumonia were retrospectively analyzed. Results Twelve cases (70%) were diffuse exudative frosted glass in the lungs, 16 cases (53.3%) were cystic fibrosis with cord-like fibers, and 5 cases were nodular and patchy lesions (16.7% ), Hilar lymph node enlargement, cystic lesions, pleural effusion and atelectasis in 4 cases (13.3%). CONCLUSION: The changes of ground-glass-like, retinal reticular fiber, nodules and patchy patches are the characteristic manifestations of CT combined with Pneumocystis carinii pneumonia in AIDS patients, and have important clinical value in the diagnosis of AIDS with Pneumocystis carinii pneumonia.