| 摘要: |
| ［摘要］ 目的 探讨艾滋病患者与吸毒者两类特殊人群感染肺结核的X线表现特点，并进行比较分析。方法 收集并分析该院2010-01～2014-06收治的艾滋病合并肺结核感染患者及吸毒感染肺结核患者各80例的X线胸部正、侧位片。结果 艾滋病合并肺结核患者中，病灶累及右肺65例，左肺63例，同时累及两肺56例，病灶分布≥2个肺野73例，占91.15%，空洞形成58例，占72.51%。吸毒感染肺结核患者中，病灶累及右肺61例，左肺48例，同时累及两肺14例，病灶分布≥2个肺野24例，占30.00%，空洞形成17例，占21.00%。据统计学分析发现，艾滋组病灶分布主要累及两肺中下肺野为主(P<0.05)，X线表现主要以渗出性、空洞为主(P<0.05)。结论 艾滋病感染肺结核与吸毒感染肺结核均具有一定的X线表现特征，且两者具有一定差异，前者病灶分布广，空洞形成广泛及病灶偶有此消彼长现象。 |
| 关键词: 艾滋病 吸毒人员 肺结核 X线表现 |
| DOI：10.3969/j.issn.1674-3806.2015.02.17 |
| 分类号:R 814 |
| 基金项目: |
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| Characteristics of X-ray manifestations of pulmonary tuberculosis in the special populations |
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ZHOU Wei-jian
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Department of Radiology, Maoqiao Center Hospital, Nanning 530023, China
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| Abstract: |
| ［Abstract］ Objective To explore the characteristics of X-ray manifestations of pulmonary tuberculosis in two kinds of special populations: AIDS patients and drug addicts, and performed the comparisons between both populations.Methods From Jan 2010 to June 2014, 80 AIDS patients with pulmonary tuberculosis were studied in our hospital.All patients were taken frontal and lateral chest radiographs.Results Seventeen in AIDS patients with pulmonary tuberculosis,lesions in the right lung were found in 65 cases,the left lungs in 63 cases, 2 lung in 56 cases；the distribution of lesions less than 2 lung field was found in 73 cases, accounting for 91.15%； cavity formation in 58 cases, accounting for 72.51%.In drug addicts with pulmonary tuberculosis, lesions in the right lung were found in 61 cases, the left lung in 48 cases, and 2 lungs in 14 cases ；the distribution of more than 2 lung fields was found in 24 cases, accounting for 30.00%；cavity formation was found in 17 cases, accounting for 21.00%. The statistical analysis showed that lesion distribution mainly involved middle and lower lung field in 2 lungs in the AIDS group(P<0.05), X-ray manifestations mainly were exudative and cavernous(P<0.05).Conclusion AIDS patients with pulmonary tuberculosis and drug addicts with pulmonary tuberculosis have their own characteristics of X-ray, and there are some certain differences between the two populations. A wider lesion distribution and cavity formation, and lesions occasionally showing a shift phenomenon were found in AIDS patients. |
| Key words: AIDS Drug addicts Pulmonary tuberculosis X-ray manifestation |
