206例肺包虫病患者十年间的临床及影像学表现
Clinical and radiological manifestations of 206 patients with pulmonary hydatidosis over a ten-year period.
作者信息
Darwish Bassam
机构信息
Department of Thoracic Surgery, Almouassat University Hospital Medical School, Damascus University, Meze Street 1, Damascus, Syria.
出版信息
Prim Care Respir J. 2006 Aug;15(4):246-51. doi: 10.1016/j.pcrj.2006.05.006. Epub 2006 Jul 12.
AIM
Pulmonary hydatidosis is a major health problem, particularly in Mediterranean countries, and manifests with different clinical and radiological forms. The aim of this study was to identify specific characteristics of the disease.
METHODS
We studied the clinical and radiological manifestations of 206 patients who were operated on for pulmonary hydatidosis in our institution between January 1993 and December 2002.
RESULTS
The clinical presentations were: cough in 112 patients (54%); chest pain in 75 patients (36%); dyspnoea in 52 (25%); haemoptysis in 39 (19%); fever and chills in 21 (10%); hydatidemesis in 21 (10%); pleuritis in 11 (5%); and spontaneous pneumothorax in seven patients (3%). Chest radiograph (CXR) and computerised tomography (CT) established the diagnosis in 184 patients (89%). Twenty-two patients (11%) manifested with nonspecific pulmonary shadows.
CONCLUSION
Hydatid cyst disease has many clinical and radiological forms which should be recognized and included in the differential diagnosis of many pulmonary problems.
目的
肺包虫病是一个主要的健康问题，尤其在地中海国家，且有不同的临床和放射学表现形式。本研究的目的是确定该疾病的具体特征。
方法
我们研究了1993年1月至2002年12月期间在我院接受肺包虫病手术的206例患者的临床和放射学表现。
结果
临床表现为：咳嗽112例（54%）；胸痛75例（36%）；呼吸困难52例（25%）；咯血39例（19%）；发热寒战21例（10%）；咳出包虫囊21例（10%）；胸膜炎11例（5%）；自发性气胸7例（3%）。胸部X线片（CXR）和计算机断层扫描（CT）确诊184例患者（89%）。22例患者（11%）表现为非特异性肺部阴影。
结论
包虫囊肿病有多种临床和放射学表现形式，应予以认识并纳入许多肺部问题的鉴别诊断中。
Zotero 插件