【摘要】 目的 分析老年急性白血病肺部浸润的CT诊断价值。方法 对50例本院确诊的老年急性白血病肺部浸润的患者做CT扫描,并对其CT表现进行分析。结果 老年急性白血病肺内浸润以病变的多形态性和弥漫性分布为特征,表现为肺纹理间质性改变(56%)、实变影(32%)、结节影(20%)、磨玻璃影(52%)、小斑片影(16%);老年急性白血病肺部浸润的患者常伴有肺外浸润,表现为胸腔积液(58%)、胸膜增厚(36%)、纵隔淋巴结肿大(48%)以及骨骼的改变(2%)。结论 CT能清晰显示老年急性白血病患者肺部浸润病变的特点和范围,其表现具有一定的影像学特点,但需结合临床,做出相应诊断。更多还原

【Abstract】 Objective To evaluate CT values in demonstrating intrapulmonary infiltration in senile acute leukemia(SAL).Methods 50 cases of SAL with intrapulmonary infiltration underwent chest CT scan in our hospital and CT findings were analyzed.Results Intrapulmonary infiltration in senile acute leukemia was characterized by multiple forms and diffuse distribution showing intrapulmonary infiltration including the lung markings changet(56%),consolidation shadow(32%),nodules(20%),ground-glass shadow(52 %) and small patchy shadow(16 %).The extrapulmonary infiltration included pleural effusion(58%),pleural thickening(36%),mediastinal lymphadenopthy(48%) and bone changes(2%).Conclusion CT can clearly show the characteristics and scopes of lung infiltration in SAL,while the final diagnosis is in need of associated with the clinical findings.更多还原