本文選題：獲得性免疫缺陷綜合征　切入點：肺結(jié)核　出處：《中華醫(yī)院感染學(xué)雜志》2017年10期

【摘要】：目的探討CT用于獲得性免疫缺陷綜合征伴肺結(jié)核感染患者的診斷價值,為臨床診治提供參考。方法選取2010年1月-2015年2月醫(yī)院收治的60例獲得性免疫缺陷綜合征伴肺結(jié)核患者為觀察組;另選取同期60例正常免疫伴肺結(jié)核患者為對照組;統(tǒng)計兩組患者手術(shù)組織病理學(xué)及實驗室檢查結(jié)果、臨床表現(xiàn)及預(yù)后情況;分析兩組患者病變類型和分布及范圍;比較兩組患者CT表現(xiàn)。結(jié)果觀察組患者發(fā)熱、呼吸困難、乏力、納差、體重下降、淺表淋巴結(jié)腫大、頭痛、腹瀉、視物模糊、口腔黏膜白斑、皮膚瘙癢、皮疹、尿頻、尿痛、尿急、伴其他肺部感染、肺外結(jié)核等發(fā)生率均明顯高于對照組,差異有統(tǒng)計學(xué)意義(P0.05);觀察組患者病變多位于中下肺,而對照組多位于上肺,觀察組患者病變范圍分布于3葉以上者明顯多于對照組,而局限于1葉肺者明顯少于對照組,Ⅰ、Ⅱ、Ⅳ及Ⅴ型者明顯多于對照組,差異有統(tǒng)計學(xué)意義(P0.05);觀察組CT征象鈣化、空洞和纖維化及支氣管擴(kuò)張率明顯低于對照組,而縱隔淋巴結(jié)腫大和粟粒結(jié)節(jié)及胸腔積液率明顯高于對照組(P0.05)。結(jié)論獲得性免疫缺陷綜合征患者臨床癥狀較多,且其肺內(nèi)病灶主要位于其中下肺,并累及3葉及以下;但當(dāng)采用CT檢查提示患者出現(xiàn)淋巴結(jié)腫大或胸腔積液或粟粒結(jié)節(jié)征象時,則需考慮患者發(fā)生肺結(jié)核,從而可實施針對性診治,為改善其預(yù)后提供幫助。
[Abstract]:Objective to evaluate the value of CT in diagnosis of acquired immunodeficiency syndrome with pulmonary tuberculosis.Methods from January 2010 to February 2015, 60 patients with acquired immunodeficiency syndrome with pulmonary tuberculosis were selected as observation group, 60 normal immune patients with pulmonary tuberculosis as control group.The results of histopathology and laboratory examination, clinical manifestations and prognosis of the two groups were analyzed. The types, distribution and range of pathological changes in the two groups were analyzed. The CT findings of the two groups were compared.Results the patients in the observation group had fever, dyspnea, fatigue, anorexia, weight loss, superficial lymphadenopathy, headache, diarrhea, blurred vision, leukoplakia of oral mucosa, pruritus, rash, frequent urination, urinal pain, urinal urgency, and other pulmonary infections.The incidence of extrapulmonary tuberculosis was significantly higher than that of the control group (P 0.05), the patients in the observation group were mostly located in the middle and lower lungs, while the patients in the control group were mostly located in the upper lung, and the range of lesions in the observation group was significantly higher than that in the control group.In the control group, the number of type 鈪，

本文編號：1703312