摘要
目的分析肝炎肝硬化并发真菌性肺炎的X线及CT表现,提高对真菌性肺炎的认识。方法回顾性分析8例肝炎肝硬化并发真菌性肺炎的X线及CT表现,并复习相关文献资料。结果5例有肺炎样改变,表现为单侧或双侧不规则斑片状、絮状影及肺纹理增粗,其中2例并多发结节团块状影,2例并伴有胸膜肥厚粘连及少量胸腔积液;单发结节状影1例;大叶性实变并局部胸膜肥厚粘连1例;茀菌球样改变并局部胸膜肥厚粘连1例。结论真菌性肺炎X线及CT表现各异,形态多样,影像学诊断困难,及时行病原菌、病理学检查,是提高早期诊断的关键。
OBJECTIVE To improve the awareness of mycotic pneumonia by analyzing the X-ray and CT manifestations of posthepatitis cirrhosis complicating with mycotic pneumonia.METHODS The X-ray and CT manifestations of 8 cases of posthepatitis cirrhosis complicating with mycotic pneumonia were analyzed retrospectively,and the relevant literatures were reviewed.RESULTS The following signs were observed.Five of the 8 cases had pneumonia-like changes manifested as unilateral or bilateral irregular patchy and flocculent images,and enlarged lung markings.Among them,2 cases had multiple nodular and massive image,another 2 cases had pleural thickening,adhesion and a small quantity of fluid accumulating in the pectoral cavity.Solitary tubercular sign was found in 1 case.Large pulmonary consolidation combined with local pleural thictening was seen in 1 case.The sign of ＂ball in a cavity＂ combined with local pleural thickening and adhesion was seen in 1 case.CONCLUSIONS The X-ray and CT manifestations are multiple and diverse so that it is hard to make a confirmative diagnosis by images.The key to improve the diagnosis rate in an early stage is to make pathogenic and pathologic examinations promptly when the patients show the above changes and have risk factors such as posthepatitis cirrhosis that are easy to catch fungal pneumonia.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第6期785-786,共2页
Chinese Journal of Nosocomiology
关键词
真菌性肺炎
肝硬化
影像学
Fungal pneumonia
Liver cirrhosis
Imaging
