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作者对117例长期血液透析病人的胸部CT表现进行了回顾性评估,男61例,女56例,年龄13~76岁。症状为咳嗽,呼吸困难,发热,身体不适,体重下降及大量出汗等。平均累计血液透析时间是48个月。CT检查层厚为8mm,床动速度8mm/s,图像重建间隔7mm。增强扫描采用100ml非离子型对比剂,注射速度3ml/s,延迟时间20~25s。 由于感染是长期血液透析常见的并发症,作者对具有肺实变、空洞或非空洞结节浸润及渗出的病人都进行了结核菌及葡萄球菌病原学检查。
The authors performed a retrospective review of chest CT findings in 117 long-term hemodialysis patients, 61 males and 56 females, aged 13 to 76 years. Symptoms of cough, difficulty breathing, fever, physical discomfort, weight loss and a large number of sweating. The average cumulative hemodialysis time is 48 months. CT examination layer thickness of 8mm, bed speed 8mm / s, image reconstruction interval of 7mm. Enhanced scan using 100ml non-ionic contrast agent, injection speed 3ml / s, delay time 20 ~ 25s. Since infection is a common complication of long-term hemodialysis, the authors performed TB and staphylococcal etiologies in patients with lung consolidation, empty or non-nodular infiltration and exudation.