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目的 提高肺炎衣原体肺炎 (Chlamydiapneumoniaepneumonia ,CPP)的认识和诊断水平。方法 89例经体外扩增DNA的PCR技术证实的CPP ,回顾分析了所有病例的胸部平片或 /和CT及高分辨率CT(High -ResolutionCT ,HRCT)。结果 CPP的影像表现 :间质浸润型 48例 (5 3.9% ) ;实质浸润型 2 0例 (2 2 .5 % ) ;混合型 12例 (13.5 % ) ;无影像改变 9例 (10 .1% )。其中 ,伴有胸膜反应 7例 (7.9% ) ,伴有肺门淋巴结肿大 16例 (18.0 % ) ;结论 支原体肺炎影像表现缺乏特异性 ,主要为间质浸润型或 /和实质浸润型并存 ,确诊依靠实验室检查
Objective To improve the level of awareness and diagnosis of Chlamydia pneumoniae pneumonia (CPP). Methods A total of 89 cases of CPP confirmed by PCR amplification of DNA in vitro were retrospectively analyzed. All the cases were analyzed with chest radiograph and / or CT and high resolution CT (HRCT). Results The imaging manifestations of CPP were as follows: interstitial infiltrates 48 (5 3.9%); real infiltrates 20 (22.5%); mixed 12 (13.5%); %). Among them, pleural reaction was associated with pleural reaction in 7 cases (7.9%), accompanied by hilar lymph node enlargement in 16 cases (18.0%); Conclusion mycoplasma pneumonia imaging performance is lack of specificity, mainly interstitial infiltration or / and substantial infiltration coexist, Diagnosis depends on laboratory tests