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目的 分析艾滋病 (AIDS)合并卡氏肺孢子虫肺炎 (PCP)的X线和CT表现特点。方法 本组 6例经证实的AIDS合并PCP ,胸部X线检查 6例 ,CT扫描 4例。结果 典型表现为双侧肺门周旁及中、下肺野呈弥漫性网状影 ,部分渗出性病变可相互融合成斑片状阴影或呈磨玻璃样改变。少见表现有胸腔积液、气胸等。结论 临床症状明显并且HIV抗体检测阳性者 ,结合胸部典型影像表现并排除其他免疫低下或缺陷疾病 ,可以考虑AIDS合并PCP诊断成立。
Objective To analyze the X-ray and CT features of AIDS complicated with Pneumocystis carinii pneumonia (PCP). Methods The group of 6 confirmed AIDS with PCP, chest X-ray examination in 6 cases, CT scan in 4 cases. Results The typical manifestations of the bilateral hilar periphery and the middle and lower lung fields were diffuse reticular shadow, some exudative lesions can be merged into patchy shadows or ground glass-like changes. A rare manifestation of pleural effusion, pneumothorax and so on. Conclusion Clinical manifestations and HIV antibody positive, combined with typical chest imaging performance and rule out other immunocompromised or defective diseases, consider the diagnosis of AIDS with PCP was established.