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支氣管擴(kuò)張誤診為肺囊腫1例

發(fā)布時(shí)間:2019-03-09 14:34
【摘要】:正患者女,30歲,主因"間斷咳嗽、咳痰1年,進(jìn)行性加重1個(gè)月伴咳紅黑色痰,胸痛20余天"入院。11年前曾患肺結(jié)核。查體:左肺下葉呼吸音減弱。胸部CT:平掃示左肺下葉分葉狀團(tuán)塊,約9.4cm×8.5cm,邊緣清晰,其內(nèi)可見分隔,囊內(nèi)低密度影CT值約25HU,增強(qiáng)掃描病灶內(nèi)分隔及邊緣強(qiáng)化,囊壁可見強(qiáng)化的血管影(圖1A、1B);MIP圖像示左肺下葉血管走行未見明顯異常(圖1C)。影像學(xué)提示:左肺下葉肺囊腫可能性大。遂
[Abstract]:The patient, 30 years old, was admitted to hospital for more than 20 days because of "intermittent cough, expectoration for 1 year, progressive aggravation for 1 month with cough red and black sputum, chest pain for more than 20 days". 11 years ago, she suffered from pulmonary tuberculosis. Check-up: the breathing sound of the lower lobe of the left lung is weakened. Chest CT: plain scan showed lobular mass of the lower lobe of the left lung, about 9.4cm 脳 8.5 cm, with clear edges with a septum in it, CT value of low density in the capsule about 25 Hu, enhanced enhancement of the inner septum and edge of the lesion, and enhanced angiogram on the wall of the capsule (fig. 1A, P < 0.05), and enhanced angiogram was seen in the wall of the cyst (figure 1A, P < 0.01). 1B); MIP images showed no significant abnormalities in the course of the left inferior lobe (Fig. 1C). Imaging findings showed that pulmonary cysts in the lower lobe of the left lung were more likely. So
【作者單位】: 吉林大學(xué)第二醫(yī)院放射科;
【分類號(hào)】:R562.22;R816.4

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2 邱志楠,潘俊輝;中西醫(yī)結(jié)合治療支氣管擴(kuò)張合并感染128例臨床觀察[J];新中醫(yī);2001年01期

3 張湘燕 ,李丹 ,宋新靈 ,鄧奇平;高分辨率CT對(duì)支氣管擴(kuò)張的診斷價(jià)值[J];貴州醫(yī)藥;2001年12期

4 徐崇明,李海斌,尹小R,

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