海洛因依赖的AIDS患者继发金黄色葡萄球菌肺炎的影像学分析
Imaging of staphylococcus aureus pneumonia in AIDS patients dependent on intravenous heroin
目的探讨静脉注射海洛因依赖的AIDS患者继发金黄色葡萄球菌肺炎的X线平片及CT影像特点.方法回顾性分析10例静脉注射海洛因依赖的AIDS患者继发金黄色葡萄球菌肺炎的临床资料、胸部X线平片及螺旋CT表现.结果 10例中,胸部X线平片和CT发现实变7例,肺气囊6例,小空洞5例,纵隔或肺门淋巴结肿大5例,胸腔积液3例;两项或两项以上混杂8例;病灶可在短期内变化.结论海洛因依赖的AIDS患者继发金黄色葡萄球菌肺炎的影像表现与其他非AIDS、非海洛因依赖者继发的金黄色葡萄球菌肺炎相似,但表现更为多样,各种征象可单独出现,亦可混杂存在.
更多Objective To explore the features of radiographic and CT imaging of staphylococcus aureus pneumonia in AIDS patients dependent on intravenous heroin. Methods Chest radiographic and CT imagings of clinically confirmed .staphylococcus aureus pneumonia in 10 AIDS patients dependent on intravenous heroin were retrospectively analyzed. Ten cases had conventional X-ray film and CT scanning. Results Pulmonary consolidation in 7 cases, pneumatocele in 6 cases, small pulmonary cavity in 5 cases, enlargement of mediastinum or hilum of the lung lymph nodes in 5 cases, pleural effusion in 3 cases were found. Eight cases had at least two of these signs. These signs could change in a short time. Conclusion The radiographic and CT imagings of staphylococcus aureus pneumonia in AIDS patients dependent on intravenous heroin are similar to the staphylococcus aureus pneumonia caused by other reasons, and its signs are multiformity. These signs can appear alone or as a mixture.
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