摘要
目的探讨艾滋病(AIDS)合并心包疾病的超声心动图改变。资料与方法回顾性分析567例艾滋病合并心包病变患者的超声心动图检查,并分析其实验室检查及临床治疗结果。结果①心包病变声像图特征:心包积液567例,占100.0%;心包膜增厚385例,占67.9%;两者常合并存在。②病因诊断:机会感染554例,占97.7%;非霍奇金淋巴瘤、卡波西肉瘤心包膜浸润13例,占2.3%。③临床治疗结果:510例(89.9%)治疗后心包积液及心包膜增厚消失,但可反复发作;57例(10.1%)持续存在。结论 AIDS心包疾病超声心动图有特征性改变,可以为临床诊断及治疗提供有价值的影像学资料。
Purpose To explore the sonogram characteristics of AIDS patients with pericardial disease.Materials and Methods Retrospectively analyzed the CDE images of 567 patients with suspected pericardial disease in our hospital,combining their clinical data.Results ① The sonogram of AIDS patients with pericardial disease appeared as pericardial effusion 567 cases,accounting for 100.0%,pericardial thickening 385 cases,accounting for 67.9%,the two often merger exists.② Etiological diagnosis：opportunistic infection 554 cases,accounting for 97.7%;cardiac pericardium infiltration by non-Hodgkin lymphoma and Kaposi＇s sarcoma 13 cases,accounting for 2.3%.③ 510 cases （89.9%） were clinical cured by antiinfection or chemotherapy.Conclusion Above CDE images characteristics of AIDS patients with pericardial disease can provide useful evidence to clinical diagnosis and treatment.
出处
《中国医学影像学杂志》
CSCD
北大核心
2012年第2期126-129,共4页
Chinese Journal of Medical Imaging
基金
国家"十一五"科技重大专项综合示范项目(2009zx10004-902)
