【摘要】 作者在坦桑尼亚工作期间,收集到一组(29例)非洲成人艾滋病并发肺结核病例。就其胸部X线表现进行了分析,较突出的表现为:(1)病变分布广泛,多同时累及两侧肺,无一例病变仅局限于上肺野。(2)合并肺门及纵隔淋巴结肿大者16例,出现率为55％。(3)17例(58.6％)出现空洞。(4)5例有纤维条索影,无一例出现钙化。艾滋病并发肺结核的确诊需靠HIV血清抗体试验及痰细菌学检查。更多还原

【Abstract】 29 cases of pulmonary tuberculosis in African adult patients with the acquired immune deficiency syndrome (AIDS) were collected when the author worked in Africa. The chest films were studied. The radiographic features were summerized: (1)Diffuse infiltration involving both lungs in 22 cases. No patient had localized tuberculosis involving the upper lung field only. (2) Hilar and mediastinal lymphadenopathy was revealed in 16 (55％) cases. (3) Pulmonary cavitations were found in 17 (58.60％)cases. (4) Fibrosis was noted in 5 cases. No calcification was seen. The radiographic diagnosis must be confirmed by HIV examination and sputum culture for mycobacterium tuberculosis.更多还原