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肺泡蛋白沉着症30例HRCT诊断及分析
引用本文:夏中柱,黎逢保,康复亮.肺泡蛋白沉着症30例HRCT诊断及分析[J].岳阳职业技术学院学报,2011,26(4):82-83.
作者姓名:夏中柱  黎逢保  康复亮
作者单位:1. 岳阳市二医院岳纸分院,湖南岳阳,414000
2. 岳阳职业技术学院,湖南岳阳,414000
3. 南华大学,湖南衡阳,421900
摘    要:目的分析PAP的HRCT表现,以期提高诊断及鉴别诊断水平。方法收集2001-2009年间在岳阳市二人民医院住院病人中经病理诊断为PAP患者30例,全部病例均胸部CT扫描并加做HRCT扫描。结果临床表现以活动后胸闷、呼吸困难为主;HRCT表现多种多样,15例表现为磨玻璃影,11例患者表现"地图样改变",4例呈典型"铺路石样"。结论出现临床症状与特征性影像学表现分离现象时,应首先考虑PAP。

关 键 词:肺泡蛋白沉着症  HRCT  诊断

HRCT Diagnosis and Analysis of 30 Cases Pulmonary Alveolar Proteinosis
XIA zhong-zhu LI Feng-bao KANG Fu-liang.HRCT Diagnosis and Analysis of 30 Cases Pulmonary Alveolar Proteinosis[J].Yueyang Vocational Technical College,2011,26(4):82-83.
Authors:XIA zhong-zhu LI Feng-bao KANG Fu-liang
Institution:XIA zhong-zhu1 LI Feng-bao2 KANG Fu-liang3(1.Yuezi Branch Hospital,The Second People's Hospital of Yueyang,Yueyang,Hunan 414000,2.Department of Clinical Medicine,Yueyang Vocational and Technical College,3.Nanhua University,Heyang,Hunan 421900)
Abstract:Objective: Analyze the HRCT manifestations of PAp to improve the diagnosis and differential diagnosis on pulmonary alveolar proteinosis(PAP). Methods: Collect 30 patients diagnosed as PAP in the NO.2 Hospital of Yueyang during 2001-2009. All cases were did chest CT scanning and HRCT scanning. Results: The clinical manifestations were activity chest tightness, shortness of breath. HRCT shows diversity. 15 cases showed "glass-like shadow",11 cases showed "geographic change", 4 cases showed "typical of crazy- paving pattern". Conclusion: When patients showed different clinical symptoms from characteristic imaging, PAP to be considered the first.
Keywords:pulmonary Alveolar proteinosis  HRCT  diagnosis
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