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作者对21例正进行免疫抑制治疗疑有肺感染的肾移植患者的胸部HRCT诊断价值进行了研究。男18例,女3例,年龄20～60岁,主要临床表现为低热19例,7例伴有干咳,3例表现为呼吸困难。所有患者均做肺部感染的常规检查包括支气管肺泡灌洗、胸片及胸部HRCT扫描。HRCT扫描从肺尖到膈顶,层厚2mm,间隔10mm。有肺门及纵隔淋巴结肿大者还行增强扫描。由两名有经验的胸部放射医师独立阅读HRCT片,对HRCT图像的分析包括
The authors investigated the diagnostic value of chest HRCT in 21 renal transplant patients undergoing immunosuppression for suspected lung infection. 18 males and 3 females, aged 20 to 60 years old, the main clinical manifestations of fever in 19 cases, 7 cases with dry cough, 3 cases showed dyspnea. Routine tests of pulmonary infection in all patients included bronchoalveolar lavage, chest radiography, and chest HRCT scans. HRCT scan from the apex to the diaphragm top, layer thickness 2mm, interval 10mm. Hilar and mediastinal lymph nodes were also enhanced scan. HRCT images were read independently by two experienced chest radiologists and HRCT images were analyzed