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《重症甲型H1N1流感急性肺损伤的高分辨率CT影像学分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、现代医学2012·276·ModernMedicalJournal⋯,’Ju⋯n;’40(3):’27⋯6.28”0·论著·重症甲型H1N1流感急性肺损伤的高分辨率CT影像学分析谢正平,戴峰,蒋燕,袁莉莉(东南大学附属第二医院放射科,江苏南京210003)[摘要]目的:探讨重症甲型H1N1流感急性肺损伤的高分辨率CT(HRCT)影像学特征。方法:对65例重症甲型HlN1流感急性肺损伤患者的常规cT和HRCT影像学表现进行回顾性分析。结果:重症甲型H1N1流感急诊肺损伤的HRCT主要有以下表现:(1)肺实质改变。呈均匀肺实变影20例,其内可见充气支气管征伴部分腺泡结节影;
2、呈斑片状模糊影36例,单侧或双侧分布,以中下肺为主;胸膜下实变影44例,呈紧贴胸膜下的斑片状或类圆形渗出性病变,密度均匀,边缘模糊;磨玻璃样改变43例,其中肺实质内磨玻璃影2l例,胸膜下磨玻璃影22例,呈大片或斑片状分布,密度淡而均匀,内见网格状或结节状改变。(2)肺间质性改变。肺纹理增粗、紊乱35例;小叶间隔增厚23例;星芒状或结节状影24例;网格状影32例。结论:HRCT能客观反映重症甲型H1Nl流感并发急性肺损伤的影像特征,有助于指导临床治疗和疗效评估。[关键词]甲型H1N1流感;急性肺损伤;高分辨率CT[中图分类号]R816.41[文献标识码]A[文章编号]16
3、71—7562(2012)03—0276—05doi:10.3969/j.issn.1671—7562.2012.03.007HRCTimaginganalysisofinfluenzaAH1N1complicatedwithseverelunginjuryXlEZheng’ping,DAIFeng,JIANGYan,YUANLi。li(DepartmentofRadiology,f船SecondAffiliatedHo~italtoSoutheastUniversity,Nanjing210003,China)[Abstract]Objective:Todiscuss
4、thehighresolutioncomputertechnique(HRCT)imagingfeatureofinfluenzaAH1N1complicatedwithseverelunginjury.Methods:ConventionalCTandHRCTimagingof65patientswithinfluenzaAH1N1complicatedseverelunginjurywereanalyzedretrospectively.Results:(1)Lungparenchymaimagingfeature:imagingofuniformitylungco
5、nsolidationwasfoundin20patients,withinflatablebronchusandglandalveolusnodules;patchingandblurredimagingcouldbefoundin36patients,whichdistributetohalforbilaterallungsandinmiddleandlowerlung;consolidationimaginginsubpleuraliswasfoundin44patientswithpatchesorsphericalexudationwithuniformity
6、densityandedgeunsharpness;43groundglass—likechangeimagingwasfoundin43patients,21ofthemthechangswasinlungparenchymaand22wasinsubpleural,whichdisplayedlargeorpatchingdistribution,andgridornodositychanging.(2)Lungmesenchymaimagingfeature:thickeningandderangementlungmarkingimagingwasfoundin3
7、5cases,thickeninginterlobularseptumin23cases;casesofaristiformornodosityshadowsin24cases,gridshadowsin32cases.Conclusions:HRCTimagingnotonlyobjectivelyevaluateinfluenzaAH1N1complicatedwithseverelunginjury,butalsohelptoguideandassesstheclinicaleficacy.[收稿日期]2011—12。12[修回日期
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