Kauczor H U, Schnütgen M, Fischer B, Schwickert H C, Härtel S, Schadmand-Fischer S, Gerken G, Schweden F
Klinik für Radiologie, Johannes-Gutenberg-Universität Mainz.
Rofo. 1995 Apr;162(4):282-7. doi: 10.1055/s-2007-1015884.
To determine the prevalence of pulmonary changes on chest radiographs and computed tomography (CT/HRCT) in HIV patients and their relation to pulmonary symptoms.
64 HIV patients were examined prospectively. 15 had no respiratory symptoms (group I), 30 had non-specific respiratory symptoms (group II), 19 complained of dyspnoea (group III). Chest radiographs and CT were performed within a week. In patients with positive findings, bronchoscopy was carried out with bacteriological and histological examinations.
In group 1, 13% of chest radiographs and 40% of CTs showed infiltrative changes. In group II, the figures were 27% and 57% respectively. In group III, abnormalities were found in all cases by both examinations.
In the absence of pulmonary symptoms, imaging is not indicated since it has no clinical consequences. In the presence of pulmonary symptoms, CT/HRCT should be performed whether the chest radiograph is normal or not, since it may reveal additional information.
确定HIV患者胸部X线片和计算机断层扫描（CT/高分辨率CT[HRCT]）上肺部改变的发生率及其与肺部症状的关系。
对64例HIV患者进行前瞻性检查。15例无呼吸道症状（I组），30例有非特异性呼吸道症状（II组），19例主诉呼吸困难（III组）。在一周内进行胸部X线片和CT检查。对于检查结果呈阳性的患者，进行支气管镜检查及细菌学和组织学检查。
I组中，13%的胸部X线片和40%的CT显示有浸润性改变。II组中，这两个数字分别为27%和57%。III组中，两种检查在所有病例中均发现异常。
在无肺部症状时，无需进行影像学检查，因为其无临床意义。在有肺部症状时，无论胸部X线片是否正常，均应进行CT/HRCT检查，因为其可能揭示更多信息。
