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《Modern Medical Imageology》 2013-05
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The Analysis of the Lung Imageological and Epidemiological Characteristic in Patients of AIDS Complicated by Pulmonary Tuberculosis( PTB)( Report of 48 Cases)

Lin Huanxing;Ye Yanhong;Yuan Caixia;Fan Anhua;Wang Tianli;Dept.of Medical Imaging,Longgang Center for Chronic Disease Control;Information Section of Longgang District People's Hospital of Shenzhen;Community Health service Center of Dapeng District Kuichong People's Hospital of Shenzhen;Dept. of Medical Imaging,Longgang Center for Chronic Disease Control;  
Purpose: To investigate the lung imageological and epidemiological characteristic in patients of. AIDS combined with pulmonary tuberculosis( PTB). Materials and Methods: A retrospective analysis was adopted to study the lung imaging findings of 48 cases of AIDS with pulmonary tuberculosis,chest radiography DR was applied for all,and CT. was used for 32 cases. Results: Epidemiological study had shown that more than 80 percent cases were young people,men accounted for 64%,the majority age group was 16 to 35,migrant population accounted for about 83 percent,cases with smoking and drug addiction accounted for 93 percent,and others was about 7 percent. Among all the 48 cases,26 patients were suffered with infiltrative pulmonary tuberculosis combined with pleural effusion; 14 patients developed as hematogenous disseminated pulmonary tuberculosis,8 cases suffered with chronic fibro-cavernous pulmonary tuberculosis. Mostly appeared with density shadow of large patchy lesions,patchy or small flake,and edge unsharpness,which confound with hollows, small nodules,lymphadenectasis in hilum of lung and / or mediastinal,lobes and segments of both lung were involved in varying degrees,the lesions mostly developed to be confluent. Conclusion: In patients of AIDS co-infection of tuberculosis, mixed lesions coexists,which are distributed over multiple lobes and segments of both lung,showing performance of multiform,but the diagnosis depends on the HIV antibody and sputubacteriological test.
【CateGory Index】: R512.91;R521
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