干旱区生态环境知识资源中心(Arid): 艾滋病合并肺结核的CT表现与CD4T淋巴细胞的关系

Arid

	艾滋病合并肺结核的CT表现与CD4T淋巴细胞的关系
其他题名	The Correlation between CT Appearances and CD4 T Lymphocytes in AIDS Pulmonary Tuberculosis
	朱文科 1; 陆普选 1; 余卫业 2; 刘艳 2; 刘水腾 2; 刘锦清 1; 苏坚 1; 乐晓华 3; 周伯平 2
ISSN	1005-5185
出版年	2007
卷号	15 期号:4 页码:256-259
中文摘要	目的:探讨艾滋病合并肺结核的CT表现与CD4T淋巴细胞的关系.材料和方法:回顾性分析临床确诊的23例艾滋病合并肺结核CT扫描资料,并定期CT复查以及CD4T淋巴细胞的检测,观察其HARRT及抗结核治疗后肺部病灶的动态变化.结果:病灶分布两个肺叶以上10例、中叶(舌叶)及下叶17例.大片状融合实变影9例、斑片状影6例、双肺弥漫性结节影5例和空洞影2例.纵隔及肺门淋巴结肿大15例,主要分布2R、4R区.病灶恶化进展患12例,CD4T淋巴细胞持续降低或衰竭;病灶吸收或缩小11例,早期CD4不同程度降低,3个月后CD4均有不同程度升高.结论:CT扫描能有效显示病变的各种征象,有利于艾滋病合并肺结核的诊断.CD4T淋巴细胞的量值是影响肺结核病变的动态变化及预后的重要因素.
英文摘要	Purpose; To study the correlation between CT features and CD4 T lymphocytes in AIDS pulmonary tuberculosis. Materials and Methods; The CT features of 23 patients with AIDS pulmonary tuberculosis were analyzed retrospectively and CD4 T lymphocytes were measured regularly, at subsequently intervals, all of patients were received multidrug antiretroviral and antituberculous therapy. Results: The lesions located in two or more lobes in 10 cases,in middle lobe, lingular lobe,or two inferior lobes in 17cases. CT appearances of pulmonary tuberculosis including larger confluent consolidation in 9 oases, patch consolidation in 6 cases, nodular opacities widely distributed in the lung fields in 5cases,and cavities shadow in 2 cases. Fifteen eases had hilar or mediastinal lymphadenopathies. The enlarged lymph nodes were mostly located in region 2R and 4R regions. Conclusions: CT scan effectively shows a great variety of imaging signs of pulmonary tuberculosis in AIDS and is helpful Lo clinical diagnosis. The count of CD4 T lymphocytes is a vital factor, which influences the radiological change and prognosis of pulmonary tuberculosis.
中文关键词	获得性免疫缺陷综合征 ; 肺结核 ; CD4T淋巴细胞
英文关键词	CT acquired immunodeficiency syndrome pulmonary tuberculosis CD4 T lymphocytes CT
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:2849027
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/221892
作者单位	1.广东省深圳市东湖医院放射科, 518020; 2.广东省深圳市东湖医院传染科, 518020; 3.广东省深圳市东湖医院病理科, 518020
推荐引用方式 GB/T 7714	朱文科,陆普选,余卫业,等. 艾滋病合并肺结核的CT表现与CD4T淋巴细胞的关系[J],2007,15(4):256-259.
APA	朱文科.,陆普选.,余卫业.,刘艳.,刘水腾.,...&周伯平.(2007).艾滋病合并肺结核的CT表现与CD4T淋巴细胞的关系.,15(4),256-259.
MLA	朱文科,et al."艾滋病合并肺结核的CT表现与CD4T淋巴细胞的关系".15.4(2007):256-259.