肺脓肿影像诊断ppt课件.ppt

《肺脓肿影像诊断ppt课件.ppt》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、肺脓肿影像诊断Theimagingdiagnosisoflungabscess2021/10/81主要内容病例回顾肺脓肿临床及病理肺脓肿影像诊断鉴别诊断小结(A)AnX-rayshowsanabnormalshadowintherightupperlobe.(B)ChestCTwithcontrastenhancementshowsaring-enhancingsolidmassmeasuring53×43mminsizeintherightupperlobewithsignificantmediastinallymphadenopathy.(C)A

2、PET/CTscanrevealsahighuptakeinthemass,withamaximumSUVof8.7,andthemediastionallymphnode,withamaximumSUVof3.7…AmJCaseRep.2014;15:243–245.LungcancermimickinglungabscessformationonCT2021/10/83Afollow-upCTscanshowsanincreaseinthesizeofthemass59×49mm(53×43mm)Thefinalresultsofthepatho

3、logicexaminationshowedapleomorphiccarcinomafollow-up2021/10/84Figure1.Chestradiographshowsalargecavitywithairfluidlevelinleftlung.Figure2.CECTThoraxatthelevelofcarinashowingalargecavitywithairfluidlevelinleftlung.Wallofthecavityisirregular.TheClinicalRespiratoryJournal.2009:116

4、–117Carcinomalungmasqueradingaslungabscess2021/10/85Figure1:ChestX-rayatpresentationshowingcompleteopacificationoftherighthemithorax.Figure2:CTscanchestshowingcompletereplacementoftherightlungwithmultipleabscesses.BronchialCarcinoidPresentingasMultipleLungAbscesses2021/10/86mal

5、e，24yearsold,cough,feverSecondarypulmonarytuberculosiswithcavityDfollow-up2021/10/87文献周震，吕岩，谢汝明，等.拟诊为肺脓肿的肺癌的CT特征及病理对照[J].临床放射学杂志,2014,33(1):29-33.方连曾.肺结核空洞继发感染误诊为原发性肺脓疡临床分析[J].临床肺科杂志2007, 12(7) : 755.TairaN,KawabataT,GabeA.LungcancermimickinglungabscessformationonCTimages.AmJCa

6、seRep[J].2014Jun7;15:243-5.KhuranaA,MohapatraPR,DhingraN.Carcinomalungmasqueradingaslungabscess[J].ClinRespirJ.2009Apr;3(2):116-7.WaheedZ,IrfanM,FatimiS,ShahidR.Bronchialcarcinoidpresentingasmultiplelungabscesses[J].JCollPhysiciansSurgPak.2013Mar;23(3):229-30.2021/10/88abscesst

7、uberculosiscarcinoma2021/10/89肺脓肿概述定义：多种化脓性细菌感染导致的肺实质局灶性化脓性病变。常见病菌：金黄色葡萄球菌、化脓性链球菌、肺炎克雷伯杆菌铜绿假单胞菌、大肠埃希式菌、流感嗜血杆菌。90%合并厌氧菌感染2021/10/810临床分型2021/10/811【病理】三期肺组织化脓性炎症（早期）肺脓肿坏死脓肿形成期脓腔胸膜粘连、脓胸、脓气胸、支气管胸膜瘘脓肿吸收/纤维瘢痕（恢复期或慢性期）坏死组织液化破溃部分排除小血管炎性栓塞2021/10/812脓肿的特征为坏死的肺组织形成空洞。空洞充满脓液（坏死物质碎片/液体）或脓

8、液加气体（空气）。脓肿可大可小，可单个或多发。脓肿可出现在肺的任何部位，根据不同的分类，有相应的好发部位。2