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目的探析获得性免疫缺陷综合征(AIDS)患者肺部感染的影像学诊断价值。方法选取2012年1月-2016年1月医院收治的HIV合并肺部感染患者389例,对其进行实验室检查及CT检查,分析HIV患者肺部感染情况及影像学表现。结果 389例患者中,以年龄18~29岁176例为主,占45.2%;肺部感染类型以肺结核199例为主,占51.2%;199例肺结核患者中,168例患者AIDS期具有多种多样的肺结核病变形态,其余31例具有较轻的X线征象,5例患者为中等量胸腔积液;117例肺孢子菌患者中,典型X线表现为毛磨玻璃样浸润及对称性网状或网织结节状影弥散于两侧肺门周围,全肺会在几天内受到累及,促进弥漫性实变的发生,但是仍然有网状影出现在肺野外围。结论 HIV合并肺部感染的影像学诊断价值高,CT检查特别是高分辨力CT能够有效表现病灶特征,为临床诊断和治疗工作提供依据,从而改善患者预后,值得临床推广使用。
Objective To investigate the diagnostic value of pulmonary infection in patients with Acquired Immunodeficiency Syndrome (AIDS). Methods 389 HIV-infected patients admitted to our hospital from January 2012 to January 2016 were selected for laboratory examination and CT examination. The pulmonary infection and imaging findings of HIV patients were analyzed. Results Among the 389 patients, 176 cases were mainly aged from 18 to 29 years old, accounting for 45.2%; 199 cases of pulmonary infection were pulmonary infection, accounting for 51.2%; among the 199 cases of tuberculosis, 168 cases had multiple stages of AIDS A variety of pulmonary tuberculosis morphological changes, the remaining 31 cases with mild X-ray findings, 5 patients were moderate pleural effusion; 117 cases of Pneumocystis patients, the typical X-ray showed a ground-glass infiltrate and symmetrical reticular Or reticular nodular shadow diffuse around the hilar on both sides, the whole lung will be involved within a few days to promote the occurrence of diffuse consolidation, but there are still reticular shadow appears in the lung field periphery. Conclusions The diagnostic value of MRI in the diagnosis of pulmonary infection complicated by HIV is high. CT examination, especially high-resolution CT, can effectively show the features of lesions and provide the basis for clinical diagnosis and treatment, which can improve the prognosis of patients and is worthy of clinical promotion.