文章摘要
沈进军1 张孝才1 罗虹1 康迅1 贺晓武1 李传明2△.高海拔地区肺结核影像表现65 例回顾分析[J].,2011,11(19):3678-3679
高海拔地区肺结核影像表现65 例回顾分析
The Retrospective Analysis of 65 Cases of Pulmonary Tuberculosisin Tibet Highland
  
DOI:
中文关键词: 肺结核  影像表现  高原
英文关键词: Pulmonary tuberculosis  Highland  Medical imaging
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作者单位
沈进军1 张孝才1 罗虹1 康迅1 贺晓武1 李传明2△ 中国人民解放军第八医院 
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中文摘要:
      目的:探讨总结高海拔地区肺结核的影像特点,更好的指导临床早期诊断。方法:回顾分析65 例西藏高原肺结核的影像特 点,总结分析其征象及价值。结果:原发型肺结核3 例(5%),影像表现边缘清楚、密度均匀的致密影,伴有淋巴结增大;侵润型结核 31 例(48%),影像表现成分混杂的致密影,可见钙化及卫星灶;血行播散型结核27 例(42%),影像表现两肺弥漫分布的结节影;纤 维空洞肺结核4 例(5 %),影像表现空洞、纤维化、支气管播散三大特征。结论:高原地区肺结核以侵润型和血行播散型为主,有特 定的影像特点,可以用来进行诊断。
英文摘要:
      Objective: To investigate the characteristics of medical imaging for the early diagnosis of pulmonary tuberculosis in highland. Methods: We retrospectively analyzed the features of medical imaging of 65 cases with pulmonary tuberculosis in Tibetan Plateau. Results: 3 cases (5%) were primary pulmonary tuberculo- sis. Pathological changes with clear margin and even density were found. Intumescent lymph nodes was concurrence. 31cases (48%) were infiltrative pulmonary tuberculosis. The density of the pathological changes is miscellaneous. Calcification and satellite could be found. 27cases (42%) were hematogenous disseminated pulmonary tuberculosis. Pervasive nodule in the two lung could be found. 4cases (5%) were fiber and cavitary pulmonary tuberculosis. Fiber, cavity and dissemination by bronchus were the characteristics in medical imaging. Conclusion: Invasion type and hematogenous disseminated type are the dominating type of pulmonary tuberculosis in Tibetan Plateau, with specific imaging features,which can be used for diagnosis of pulmonary tuberculosis.
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