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1、CHINESEJOURNALOFCTANDMRI,AUG2013,Vol.11,No.4TotalNo.51TheValueofHRCTinDiagnosisofCytomega-lovirusPneumoniaafterLiverTransplantationCHENWei-tang1,LIUZhao-hui1,CHENYin-yin1,etal.1.DepartmentofRadiology,论著TaishanPeople’sHospital,TaishanGuangdong529200,China;2.Depa
2、rtmentofRadiology,The3rdAffiliatedHospitalofSunYat-SenUniversity,GuangzhouGuangdong510630,China[Abstract]ObjectiveTodiscussthevalueofHRCT(High-resolutionCT)inthediagnosisHRCT在诊断肝移植ofcytomegaloviruspneumoniaafterlivertransplantation.MethodsTheHRCTappear-ancesof1
3、1patientswithcytomegaloviruspneumoniaafterlivertransplantationwere术后巨细胞病毒肺retrospectivelyanalyzed.Results10casesofground-glassopacification,8casesofmul-炎中的临床价值tiplenodulesand4casesofairspaceconsolidationwereseenin11patients.Acombinationofground-glassopacities,n
4、odules,andareasofair-spaceconsolidationwereshownin100%(11/11)patients.4casesofground-glassopacityandnodules,3casesofground-glassopacityandair-spaceconsolidation,1caseofair-spaceconsolidationandnodulesand31.广东省台山市人民医院放射科caseofground-glassopacity,air-spaceconsoli
5、dationandnoduleswereidentified.Bilateral（广东台山529200）abnormalitieswereseeninallpatients.Lesionsweredistributedinperipheralandinternal2.中山大学附属第三医院放射科zoneslungsin9cases.Lesionsonlyinperipheralzoneoflungsandininternalzoneoflungs（广东广州510630）weredemonstratedin3casesr
6、espectively.Lesionsinlowerlobe,mediallobeandupper陈伟棠1刘朝晖1陈茵茵1lobewererevealedin11,10and9casesrespectively.ConclusionAcombinationofground-陈颖峰1覃杰2glassopacities,nodules,andareasofair-spaceconsolidationwerethemostcommonHRCTappearancesofcytomegaloviruspneumoniaafte
7、rlivertransplantationandcouldbetheevidencesofdiagnosisofcytomegaloviruspneumonia.【摘要】目的探讨HRCT（High-[Keywords]Livertransplantation;Cytomegalovirus;Pneumonia;HRCTresolutionCT）在诊断肝移植术后巨细胞病毒(CMV)肺炎的临床价值。方法收集11例肝移植术后确诊为CMV肺炎患者的HRCT，由两名放射科医生统计分析病灶的形态及分布特征。结果毛巨细胞病毒(Cy
8、tomegalovirus，CMV)肺炎是肝移植术后最常见、玻璃影10例，多发结节8例，斑片状最凶险的机会性感染之一，死亡率达25%～31％，是CMV感染中最常见实变影4例。100％（11/11）患者肺内见到多种形态病灶共同存在：毛玻璃的死亡原因[1]。若能早期、及时积极治疗CMV肺炎，可减少患者的死影与多发结节4例，毛玻璃影与实变影3例，实变
