肺炎的影像诊断
摘要
肺炎的病原体为细菌、病毒、支原体、衣原体和霉菌等。影像检查的目的是发现病变、鉴别诊断、判断严重程度,推测可能的病原和观察治疗效果。临床和X线表现典型的病例X线胸片即可诊断,CT用于难以吸收肺炎的鉴别诊断。薄层和高分辨CT对于弥漫性病变和肺问质改变显示清楚。肺炎的影像诊断需要结合免疫状况、临床表现、实验室和病原学检查。
出处
《中华全科医师杂志》
2011年第3期219-221,共3页
Chinese Journal of General Practitioners
参考文献10
-
1Fraser RS, Mailer NL, Colman N, et al. Fraser and pare's Diagnosis of Diseases of the chest. Philadelphia: Saunders, 1999 : 698-736.
-
2马大庆 同忠虎 等.球形急性肺炎的X线诊断[J].中华结核和呼吸杂志,1987,10(5):271-271.
-
3Shah RM, Gupta S, Angeid-Backman E, et al. Pneumococcal pneumonia in patients requiring hospitalization : effects of bacteremia and HIV seropositivity on radiographic appearance. AJR, 2000,175 : 1533-1536.
-
4Lee I, Kim TS, Yoon HK Mycoplasma pneumoniae pneumonia: CT features in 16 patients. Eur Radiol, 2006,16:719-725.
-
5Shiley KT, Van Deerlin VM, Miller WT Jr. Chest CT features of community-acquired respiratory viral infections in adult inpatientswith lower respiratory tract infections. Thorac Imaging, 2010,25: 68 -75.
-
6McGuinness G, Scholes JV, Garay SM, et al. Cytomegalovirus pneumonitis : spectrum of parenehymal CT findings with pathologic correlation in 21 AIDS patients. Radiology, 1994,192 : 451-459.
-
7马大庆.SARS的鉴别诊断[J].中华放射学杂志,2003,37(9):853-855. 被引量:5
-
8马大庆.发挥影像检查在人禽流感诊断中的作用[J].中华放射学杂志,2006,40(3):230-230. 被引量:4
-
9马大庆.认真总结甲型H1N1流感肺炎的影像学诊断经验[J].中华放射学杂志,2010,44(2):117-118. 被引量:14
-
10Gruden JF, Huang L, Turner J, et al. High-resolution CT in the evaluation of clinically suspected pneumocystis carinii pneumonia in AIDS patients with normal, equivocal, or nonspecific radiographic features. AJR, 1997,169:967-975.
二级参考文献27
-
1陈疆红,马大庆,贺文,靳二虎,张洁,钟朝辉.严重急性呼吸综合征患者肺内残留病变CT表现的随访观察[J].中华放射学杂志,2006,40(11):1161-1165. 被引量:12
-
2中华人民共和国卫生部.甲型H1N1流感诊疗方案(2009年第3版).2009:1-5.
-
3Padilla RP, Zamboni DR, Leon SP, et al. Pneumonia and respiratory failure from swine-origin influenza A (H1N1) in Mexico. N Engl J Med, 2009,361:680-689.
-
4Agarwal PP, Cinti S, Kazerooni EA. Chest radiographic and CT findings in novel swine-origin influenza A ( H1 N1 ) virus (S-OIV) infection. AJR,2009,193 : 1488-1493.
-
5Ajlan AM, Quiney B, Nicolaou S, et aL Swine-origin influenza A (H1N1) viral infection: radiographic and CT findings. AJR, 2009,193 : 1494-1499.
-
6Nicolaou S, Al-Nakshabandi NA, Muller NL. SARS: imaging of severe of severe acute respiratory syndrome. AJR, 2003,180:1247-1249.
-
7Wong KT, Antonio GE, Hui DS, et al. Thin-section CT of severe acute respiratory syndrome: evaluation of 74 patients exposed to or with the disease. Radiology, 2003,May 8[epub ahead of print].
-
8Collins J. CT signs and patterns of lung disease. Radiol Clin North Am, 2001, 39:1115-1135.
-
9Shah RM, Miller W Jr. Widespread ground-glass opacity of the lung in consecutive patients undergoing CT: does lobular distribution assist diagnosis? AJR, 2003,180:965-968.
-
10Johkoh T, Itoh H, Muller NL,et al.Crazy-paving appearance at thin-section CT: spectrum of disease and pathologic findings. Radiology,1999,211:155-160.
共引文献21
-
1陈跃辉,蒋华诞,苏平昌,梁健.经治肺结核的X线平片与螺旋CT的对照研究[J].川北医学院学报,2004,19(4):74-76.
-
2李雄,贺建林,曾伟华,文芝清.52例儿童甲型H1N1流感肺炎的影像表现[J].实用预防医学,2010,17(7):1373-1376. 被引量:4
-
3刘宗涛,王志远,王金良.球形肺炎18例误诊分析[J].临床误诊误治,1999,12(2):99-100.
-
4张原生,王凯,王青宏.重症甲型H1N1流感肺炎胸部X线表现1例报告及文献复习[J].实用医学影像杂志,2010,11(6):357-358.
-
5马耀山,魏憬,吴光欣,李虹萍,师新辉,武碧霞,袁昊,李广.甲型H1N1流感肺部影像特点与临床对照[J].甘肃科技,2010,26(23):140-142.
-
6马大庆.影像检查对肺部感染的鉴别诊断价值[J].中华放射学杂志,2011,45(6):517-519. 被引量:6
-
7李政旻,魏军,谭正,焦新光,陈曼仙.重症甲型H1N1流感肺炎的胸部影像学表现[J].中国中西医结合影像学杂志,2011,9(6):552-554.
-
8齐战元,袁涛,全冠民,王颖杰.甲型H1N1流感肺炎CT演变特点[J].放射学实践,2012,27(4):386-389.
-
9刘蕾,王亚娟,邵芳,王慧欣,郭改丽,林影.新生儿甲型流感6例临床分析[J].中国新生儿科杂志,2012,27(5):325-328. 被引量:3
-
10杨俊飞,庞永立,白沙如拉.重症甲型H1N1流感并发肺炎患者胸部CT特征分析[J].中华消化病与影像杂志(电子版),2012,2(1):45-47. 被引量:1
-
1吴天,阎建华,陈东,李健丁.肾上腺肿瘤的影像学诊断[J].实用医学影像杂志,2005,6(6):367-369. 被引量:6
-
2郭少贤,廖星明.高分辨CT在诊断强直性脊柱炎骶髂关节病变的应用[J].中国当代医药,2010,17(3):75-76. 被引量:1
-
3于忠东,全勇,于中海.肺泡蛋白沉积症的临床影像诊断(附2例报告)[J].医学影像学杂志,2005,15(4):342-343. 被引量:4
-
4李宏宇.原发性肺癌的影像学诊断[J].中国民康医学,2007,19(20):914-914. 被引量:1
-
5张凌志,杨勇,董晓强,董险峰,吴桂丽.高分辨CT扫描在强直性脊柱炎早期诊断的应用价值[J].中国临床研究,2015,28(7):939-940. 被引量:2
-
6张鸣燕.高分辨CT在诊断强直性脊柱炎骶髂关节病变的应用[J].中国当代医药,2009,16(23):85-86. 被引量:1
-
7杨春明.高分辨CT(HRCT)扫描对腔隙梗死的诊断应用[J].中外医疗,2009,28(19):161-161.
-
8叶风平,许兵,孙高峰.高分辨CT征象对肺内孤立结节良恶性的鉴别诊断价值分析[J].海军医学杂志,2015,36(6):517-519. 被引量:14
-
9刘东红,刘影,赵恒宇,杨立国.高分辨CT评价肺功能正常吸烟者肺组织早期损害[J].家庭心理医生,2014,10(2):178-178.
-
10付维林,彭鹏.百草枯中毒肺损伤HRCT影像分析66例[J].武警后勤学院学报(医学版),2014,23(6):526-527. 被引量:1