Hartelius H, Gaub J, Ingemann Jensen L, Jensen J, Faber V
Department of Diagnostic Radiology, Rigshospitalet, University of Copenhagen, Denmark.
Acta Radiol. 1988 Nov-Dec;29(6):641-4.
Computed tomography of the chest was performed on 42 occasions as part of the diagnostic work-up in 26 homosexual men with, or suspected of the acquired immunodeficiency syndrome (AIDS). In 17 cases both the chest radiographs and the lung scans were abnormal, and bronchoscopy and/or lung biopsy established an etiologic diagnosis in the majority of these cases. In 9 cases CT of the lungs revealed unequivocal interstitial infiltration in the presence of a normal chest radiograph, and subsequently an etiologic agent was demonstrated in all these cases. In 9 cases, patients with symptoms indicative of pulmonary infection had both a normal chest radiograph and a normal lung scan, and in none of these cases did the clinical course or additional diagnostic procedures indicate the presence of current opportunistic lung infection. CT of the lungs seems to identify accurately those patients with severe HIV-related diseases in whom invasive diagnostic procedures such as bronchoalveolar lavage and/or lung biopsy should be done.
对26名患有或疑似患有获得性免疫缺陷综合征（AIDS）的同性恋男性进行了42次胸部计算机断层扫描，作为诊断检查的一部分。17例患者胸部X光片和肺部扫描均异常，支气管镜检查和/或肺活检在大多数此类病例中确立了病因诊断。9例患者肺部CT显示在胸部X光片正常的情况下有明确的间质性浸润，随后在所有这些病例中均证实了病原体。9例有肺部感染症状的患者胸部X光片和肺部扫描均正常，在这些病例中，临床病程或其他诊断程序均未表明存在当前的机会性肺部感染。肺部CT似乎能准确识别那些患有严重HIV相关疾病的患者，对于这些患者应进行诸如支气管肺泡灌洗和/或肺活检等侵入性诊断程序。
