肺部阴影

目的探讨经皮肺穿刺活检术在外周肺部阴影中的实用性和可靠性。

Objective To investigate practically and reliability of percutaneous needle biopsy in the diagnosis of pulmonary shadow .

结果：应用激素治疗1周后，2例患者肺部阴影有所吸收，3～4d后病变范围明显增大。

Results : After 11 death cases of SARS were treated with glucocorticoid for one week , the shadow on lung of two patients was absorbed , but the lesion area expanded obviously after 3 ~ 4days .

常规抗感染治疗无效，中毒症状明显和肺部阴影扩散时，及时应用持续气道正压通气（CPAP）和皮质激素可有效控制病情发展。

Continual positive airway pressure ( CPAP ) and glucocorticoid was required that can control depravation of the disease when toxicosis symptom of patients was severity and shadow of lungs diffuse more and more .

肺部阴影患者100例纤支镜检查临床分析

Clinical analysis of fiberoptic bronchoscopy examination of 100 patients with pulmonary shadow

肺部阴影重且相对稳定而临床症状较轻，可出现临床症状与影像学表现分离现象。

The radiologic manifestations were stable and more serious than the symptoms .

病人肺部阴影与症状体征可不一致。

Patient lung shadow and semiotic body are asked for but abhorrent .

从他的咳嗽和肺部阴影入手。

Factor in the cough and the cloudy lungs .

84%患者在5周内肺部阴影逐渐消散。

The opacity disappeared gradually in 5 weeks in 84 % of the patients .

伊曲康唑静脉注射2周，序贯口服3个月不等，肺部阴影完全消失，随访2年无复发。

Two weeks of Itraconazole injection and three months of oral Itraconazole administration showed disappearance of all abnormal shadows in the lung fields .

结果21例患者肺部阴影在25～60天内完全吸收或明显好转，平均为42.8±11.5天；

Results The opacity were disappeared completely or improved obviously in 21 patients within 25-60 days ( mean 42.8 ± 11.5 days ) .

结果3例均以高热为首发症状，继而出现进行性呼吸困难和肺部阴影；

Results The earliest symptom of all 3 cases was hyperpyrexia and followed by progressive dyspnea and appearance of lung field shadows in X rays findings .

结果18例病人全部临床治愈，痰菌转阴，肺部阴影消失或纤维化，无手术并发症。

Results 18 cases were cured clinically , sputum was negative , and shadow on lung vanished , no operation complication . The shadow on the lung was vanished or become fibrous degeneration .

23例肺部阴影B超拟肺内实质性肿块经皮肺穿针吸活检者，22例发现恶性细胞，阳性率为95.7%；

Among of them , 23 cases evaluated as parenchymal mass by B-mode ultrasonography , then under ultrasonography guided aspiration biopsy that get malignant cells on 22 patients ( positive rate is 97.7 % ) .

91%的病人胸片检查呈现单侧或双侧肺部片状阴影。

X-ray check of the lungs showed that 91 % of the patients had shadows in one or both side of the lung .

11月13日，在医生发现了皮特曼夫人肺部的阴影之后，她入住了克利夫兰的北帝斯医院。

Mrs Pitman was admitted to the University Hospital of North Tees , Cleveland , on November 13 after medics detected a shadow on her lung .

这位宠爱家人的伟大的祖父，带着重病守在躺在医院里的妻子帕特身边一周之久，她妻子被诊断出肺部有阴影。

The doting great grandfather , who was seriously ill himself , kept a week long vigil at the hospital bedside of his wife , Pat , after she was admitted with a shadow on her lung .

26例（72.2%）胸片异常，表现为肺纹理增多紊乱、肺门阴影增浓、以肺门为中心向外扩散的蝶形阴影、肺部片状模糊阴影、肋膈角模糊或消失。

26 cases ( 72.2 % ) had abnormal chest radiographic films , which included increased and / or disordered lung marking , densed hilar shadows , butterfly shadows , spot and cloud shadows in lung fields , obscure or obliteration of the costophrenic angle .

结果（1）影像学变化：普通型23例：肺部出现一侧片状阴影为病程的2～5（29±10）d；

Results ( 1 ) Chest X-ray image : among 45 cases , 23 were common type : the time to appearance of unilateral patched shadow of the lung were 2 to 5 ( 2.9 ± 1.0 ) days .

其主要症状是发热、咳嗽、肺部物理体征出现较晚。X线检查肺部阴影消失慢。

The primary symptoms are fever and cough , the signs of the lung appears late and the X-ray signs of the lung disappears slowly .

6例肺部合并G~-杆菌感染，5例合并纵隔气肿，出现合并症时，肺部阴影延迟吸收。

Complication with G - bacillus infection in 6 cases and pneumomediastinum in 5 cases were found , which was accompanied with delayed resolution of the lung opacity .