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目的总结急性局灶渗出性肺炎64排CT表现特点,以提高诊断准确性。方法分析经临床证实的60例急性局灶渗出性肺炎64排CT表现征像。结果病灶呈斑片状影37例,类圆形影11例,三角形影7例,磨玻璃状影5例;密度不均41例,支气管气像4例;病变边缘模糊49例,周边少量索条状影12例。做出肯定诊断51例,提示性诊断4例,误诊结核5例。结论 MDCT是诊断急性局灶渗出性肺炎的主要方法,定性困难时应抗生素治疗短期内复查。
Objective To summarize the characteristics of 64-slice CT of acute exudative pneumonia in order to improve the diagnostic accuracy. Methods Sixty-six cases of acute exudative pulmonary inflammation in 64 cases confirmed by clinical manifestations were analyzed. Results The lesions were patchy in 37 cases, including 11 cases of round-like shadow, 7 cases of triangular shadow and 5 cases of ground-glass shadow. There were 41 cases of uneven density and 4 cases of bronchial airway. Film in 12 cases. Make affirmative diagnosis in 51 cases, prompt diagnosis in 4 cases, 5 cases of misdiagnosis of tuberculosis. Conclusion MDCT is the main method of diagnosis of acute focal exudative pneumonia. When the diagnosis of acute focal exudative pneumonia is difficult, antibiotic treatment should be reviewed shortly.