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粟粒性肺结核:胸部超声的声像图表现

Miliary tuberculosis: sonographic pattern in chest ultrasound.

作者信息

Hunter L, Bélard S, Janssen S, van Hoving D J, Heller T

机构信息

Khayelitsha District Hospital, Cape Town, South Africa.

Department of Pediatric Pneumology and Immunology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

出版信息

Infection. 2016 Apr;44(2):243-6. doi: 10.1007/s15010-015-0865-8. Epub 2015 Dec 11.

Abstract

Miliary tuberculosis (TB) is characterized by a multitude of small nodular opacities on chest radiography. Despite ultrasound of the chest gaining wider acceptance as a diagnostic tool of lung infections, sonographic changes of pulmonary miliary TB have not yet been reported. Here, we describe B-lines and comet-tail artifacts disseminated throughout multiple lung areas and a pattern of sub-pleural granularity as consistent changes seen in lung ultrasound of ten patients with pulmonary miliary TB diagnosed by chest radiography.

摘要

粟粒性肺结核在胸部X线片上表现为众多小结节状阴影。尽管胸部超声作为肺部感染的诊断工具越来越被广泛接受,但肺粟粒性结核的超声变化尚未见报道。在此,我们描述了在10例经胸部X线片诊断为肺粟粒性结核患者的肺部超声检查中一致出现的、遍布多个肺区的B线和彗尾伪像,以及胸膜下颗粒状改变。

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