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目的：总结肾综合征出血热(EHF)胸部并发症的CT 表现和探讨胸部CT 表现对肾综合征出血热的诊断价值。方法: 分析60 例经HFRS-IgM 阳性确诊的HFRS 的胸部螺旋CT 表现，其中轻型5 例、中型20 例、重型28 例、危重型7 例。结果: 肺部感染22 例，肺水肿12 例，胸腔积液41 例，心包积液17 例，其中，心包积液合并肺水肿者4 例，肺部感染并胸腔积液者4 例，胸腔积液合并下肺局部膨胀不全18 例，胸部CT 检查正常8 例。结论: 肾综合征出血热，胸部并发症发生几率较高，以胸腔积液及胸腔积液并下肺膨胀不全发生几率最高，HFRS 的胸部CT 表现对于临床有很好的治疗意义，早期CT 检查可准确显示肾综合征出血热病人胸部改变的特征。

英文摘要:

Objective: To investigate the CT features of chest complications of epidemic hemorrhagic fever (EHF) with Renal Syndrome and to study its clinical diagnostic application. Methods: We analyzed the CT features of chest of sixty patients confirmed by the HFRS-IgM positive .Among the patients,5 cases is light; 20 cases, medium; 28 cases, severe; 7 cases, critical. Results: Lung pneumonia in 22 cases, pulmonary edema in 12 cases, pleural effusion in 41 cases,pericardiac effusion in 17 cases. In them, pericardiac effusion with pulmonary edema 4 cases, lung pneumonia and pleural effusion in 4 cases, pleural effusion with partial atelectasis 18 cases, the normal in 8 cases. Conclusion: There is a high probability of occurrence in Epidemic hemorrhagic fever with renal syndrome. The CT examination of chest have a very good treatment and clinical significance.Pleural effusion and pleural effusion with partial atelectasis occur the most offen.Earlier CT examination of chest can show the early chest complications change of the EHF patients.

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