【摘要】 目的通过对肺钩端螺旋体病肺部的X线征象分析和分型,提高对本病的认识,减少误诊。方法收集40例肺钩端螺旋体病的胸部X线平片和临床资料,动态摄片观察并根据其X线表现进行分型和诊断性治疗。结果40例肺钩端螺旋体病均有不同程度的肺部X线改变,其中30.0%表现为肺纹理改变型,52.0%表现为小病灶型,18.0%表现为大病灶型。正确诊断后经有效的治疗病例,病人痊愈;误诊病人因全身多脏器损伤而死亡。结论肺钩端螺旋体病的胸部X线表现具有一定的特点,动态摄片观察和结合临床全面分析有利于提高对本病诊断的正确率。更多还原

【Abstract】 Objective To analysis the X-ray signs and subtype o f the lung leptospira disease, and improve the undersdand, reduce the error diagno sis of this diseases. Methods 40 cases of lung leptospira disease were evalua ted about the check X-ray sings and clinical data,the check X-ray sings were dynamic observated and typed,and 40 cases had a diagnostic treatment. Results There were various X-ray changes of lung leptospira disease .in 40 cases,12 cases(30% ) pulmonary marking ,21 cases(52% ) little lesions,and 7cases(18% ) lager lesions,respectively.The patients who were correctly diagnosed made a rec overy after effective treatment,the patients who were error diagnosed died becau se of multiple system organ damage. Conclusion The check X-ray signs in lun g leptospira disease have some characteristics.It may play an important role in improving this disease’ diagnosis combining the dynamic observation of check X -ray sings with clinical data.更多还原