Department of Radiology, Glenfield Hospital, University Hospitals of Leicester NHS Trust, UK.
Clin Radiol. 2012 Oct;67(10):1001-10. doi: 10.1016/j.crad.2012.02.017. Epub 2012 May 16.
The incidence of non-HIV immunocompromised patients is increasing. This is primarily due to improved immunosuppressive regimes for autoimmune diseases and also increases in stem cell transplantation. Pulmonary complications are a major cause of morbidity and mortality in these patients. Imaging is frequently used to assess these complications and to streamline therapies, as microbiological and/or pathological diagnosis can often be difficult, invasive, or protracted. This review provides the reader with a structured approach to interpret the imaging findings and differentiate between different infective and non-infective complications in these patients.
非 HIV 免疫功能低下患者的发病率正在上升。这主要是由于自身免疫性疾病的免疫抑制治疗方案得到了改善,以及干细胞移植的增加。肺部并发症是这些患者发病率和死亡率的主要原因。影像学常用于评估这些并发症,并简化治疗方案,因为微生物学和/或病理学诊断通常较为困难、具有侵袭性或耗时较长。本文为读者提供了一种结构化的方法来解读影像学表现,并区分这些患者的不同感染性和非感染性并发症。