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目的提高白血病继发肺部真菌感染CT影像的诊断价值。方法白血病继发肺部真菌感染患者62例,男44例,女18例,全部病例均行螺旋CT平扫并局部HRCT技术,分析CT影像特征,并与实验室检查及临床抗真菌治疗疗效对照。结果①所有病例两肺内不同程度受累及,其中累及3个以上肺叶段41例,两个肺叶段17例,单一肺叶段4例;肺叶或肺段的斑片/团片状实变影49例;②“晕征”23例;③空洞及新月征3例;④多发/单发结节27例,内见钙化3例;⑤多发索条27例。结论白血病继发肺部感染的CT影像诊断,能为临床治疗,提供有效、及时的指导依据。
Objective To improve the diagnostic value of CT images of pulmonary fungal infection secondary to leukemia. Methods Sixty-two patients with leukemia secondary to pulmonary fungal infection were enrolled, 44 males and 18 females. All cases underwent CT scan and local HRCT to analyze the CT features. The results were compared with those of laboratory tests and clinical antifungal therapy . Results ① All cases were affected to varying degrees in two lungs, including 41 cases with more than three lobes, 17 with two lobes and 4 with single lobes. The patch / Cases; ② “halo sign” in 23 cases; ③ empty and crescent sign in 3 cases; ④ multiple / single nodules in 27 cases, 3 cases of internal calcification; Conclusions CT imaging of secondary lung infection of leukemia can provide an effective and timely basis for clinical treatment.