摘要
目的探讨甲型H1N1流感相关性肺炎的CT表现及其鉴别诊断意义。方法通过回顾分析19例确诊为甲型H1N1流感相关性肺炎患者的胸部CT资料,观察其病变的形态、分布和伴随征象等。由2名医生独立观察完成。结果胸部CT表现:双侧磨玻璃影7例,单侧实变影1例,双侧磨玻璃影并实变影11例。双侧分布18例,单侧分布1例。胸膜下分布为11例,中央性分布为主2例,弥漫性分布为主4例,随机分布为2例。合并胸腔积液7例,其中双侧4例,单侧3例。合并细网状影6例。结论甲型H1N1流感相关性肺炎患者的胸部CT征象具有一定的特点,结合病史及实验室检查在一定程度上可以与其他疾病进行鉴别。
Objective To study the computed tomography（CT） findings and the differential diagnosis significance of Influenza A（H1N1） virus-associated pneumonia.Methods The chest CT features of 19 patients who were diagnosed with Influenza A（H1N1） virus-associated pneumonia were reviewed by two doctors independently.The pathological changes,distribution and the following signs were obvsered.Results The CT findings consisted of bilateral ground-glass opacities（n=7）,single areas of consolidation（n=1）,or a mixed bilateral pattern of ground-glass opacities and areas of consolidation（n=11）.18 cases were bilateral distribution.Sub-pleural distribution were 11 patients,central distribution were 2 patients,and diffuse distribution were 4 patients.7 cases has hydrothorax.6 cases has Reticular shadow.Conclusion CT signs might have its features in influenza A virus H1N1 patients.It might be to distinguish by combined with.
出处
《黑龙江医学》
2010年第10期778-780,共3页
Heilongjiang Medical Journal
关键词
甲型H1N1流感
电子计算机体层扫描
肺炎
磨玻璃
实变
Influenza A Virus H1N1
Computered topography
Pneumonia
Ground-glass opacities
Consolidation
