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鹦鹉热衣原体肺炎的CT表现特征

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目的 探讨鹦鹉热衣原体肺炎患者的 CT 表现特征.方法 回顾性分析笔者医院经宏基因二代测序(macro gene second-generation sequencing,mNGS)技术确诊 10 例鹦鹉热衣原体肺炎患者的胸部CT图像.结果 7 例(70%)患者与鸟(禽)类或其粪便有接触史.入院胸部CT均表现为团片状渗出实变影,均位于单肺,其中累及单叶 8 例(80%)、双叶 2 例(20%);10 例(100%)均伴有支气管充气征,9 例(90%)有磨玻璃影,8 例(80%)局部小叶间隔或小叶内间隔增厚;1例(10%)病灶呈"扇形"改变,1例(10%)病灶见"反晕症",9d内复查9例(90%)有进展,表现为病灶融合增大呈更大范围实变或新出现病灶.结论 鹦鹉热衣原体肺炎CT表现具有一定特征,结合鸟(禽)类接触史可提示诊断.
CT features of Chlamydia psittaci pneumonia
Objective To investigate CT features of Chlamydia psittaci(C.psittaci)pneumonia patients.Methods Ten patients with C.psittaci pneumonia were collected retrospectively based on macro gene second-generation sequencing(mNGS).The radiological manifestations of the disease were analyzed.Results Seven patients(70%)had contact history with birds(poultry)or their feces.Chest CT on the day of admission was mainly mass patchy consolidation,all of which were located in single lung,involving 8 cases(80%)with one lobe and 2 cases(20%)with two lobes.All of them were accompanied by air bronchogram,9 cases(90%)with ground glass shadow and 8 cases(80%)with interstitial changes.One case(10%)showed a reversed halo sign,and 1 case(10%)showed fan-shaped consolidation.Nine cases(90%)showed progress with increased fusion or new lesions within nine days.Conclusion CT findings of C.psittaci pneumonia have certain characteristics,and combining with history of contacting birds(poultry)can suggest diagnosis.

Chlamydia psittaci pneumoniaMacro gene second-generation sequencingCT

杨登法、郭宇闻、杨婷、陈建华、许晓琴、罗建华

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浙江省台州市立医院放射科,浙江台州 318000

浙江省台州市立医院呼吸与危重症医学科,浙江台州 318000

鹦鹉热衣原体肺炎 宏基因二代测序 CT

浙江省台州市科技计划浙江省医药卫生科技计划

21ywb432023KY1321

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(8)
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