摘要
目的 提高对肺气肿合并肺炎临床特点 ,尤其是X线表现特点的认识。方法 应用配比病例对照研究的方法 ,回顾性分析 30例肺气肿合并肺炎和 30例普通肺炎患者的临床资料 ,并对其治疗前后肺炎吸收情况进行对比分析。结果 肺气肿合并肺炎患者中 1 6例吸烟 ,占 53% ,普通肺炎患者中 6例吸烟 ,占 2 0 %。 2 5例肺气肿合并肺炎患者的X线胸片表现为网状、斑片状密度增高的阴影 ,内杂有囊状密度减低区。 2 8例普通肺炎患者的X线胸片表现为沿叶、段分布的片状密度增高的阴影。结论 认识肺气肿合并肺炎患者的X线胸片的特点对临床明确诊断大有益处 ,同时也丰富了对肺炎复杂多变的临床表现的认识。
Objective To improve the recognition of the characteristics of emphysema with pneumonia and peculiarity of X ray.Methods With the case control study, the clinical manifestations and laboratory date of 30 cases of emphysema with pneumonia and 30 cases of pneumonia were retrospective analysis. Results It was found that 16 of 30 (53%) cases of emphysema with pneumonia are smokers, 6 of 30 (20%) cases of pneumonia smoked. X ray characteristics was net and spot image mixed with low density area in 25 patients of emphysema with pneumonia. In 28 cases of pneumonia patients high density fragment image was found stretched along lung lobe. ConclusionX ray peculiarities of emphysema with pneumonia enrich the recognition of complex nature of pneumonia and the recognition is benefit to the clinical diagnosis of pneumnia.
出处
《临床内科杂志》
CAS
北大核心
2001年第5期340-342,共3页
Journal of Clinical Internal Medicine
