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白塞氏综合征是一种侵及多器官的慢性疾病,其特征性损害系坏死性脉管炎所致,主要累及静脉,小静脉和毛细血管,动脉也可受累,肺部受累约占5％。作者分析了9例累及胸部的白塞氏综合征胸片及CT扫描所见,并对其进行比较。9例患者至少具备四项主要标准(口、生殖器、皮肤和眼病变)中的三项,其中男6例,女3例,年龄为18～44岁,平均年龄32岁。主要胸部症状:呼吸困难6例,咯血3例,咳嗽3例,咯痰3例,胸闷1例,低烧、不适1例。该组病人有5例通过临床确诊,2例行皮肤活检,1例行肺叶切除,1例经肺组织活检证实。9例病人的胸部X线表现为:5例(56％)纵隔增宽,5例肺实变,3例(33％)肺部肿块。CT扫描显示5例(56％)肺实
Behcet’s syndrome is a chronic disease that affects multiple organs and its characteristic damage is caused by necrotizing vasculitis, involving the veins, venules and capillaries, arteries can also be involved, the lungs account for about 5 %. The authors analyzed 9 cases of Behcet’s syndrome involving chest and chest CT scan seen and compared. Nine patients had at least three of the four major criteria (mouth, genital, cutaneous and ocular lesions), 6 males and 3 females, aged 18-44 years with a mean age of 32 years. The main chest symptoms: 6 cases of dyspnea, hemoptysis in 3 cases, 3 cases of cough, expectoration in 3 cases, 1 case of chest tightness, fever, discomfort in 1 case. The group of patients with clinical diagnosis by 5 cases, 2 cases of skin biopsy, 1 case of lobectomy, 1 case confirmed by lung biopsy. Chest X-ray findings of 9 patients were: 5 cases (56%) enlarged mediastinum, 5 cases of lung consolidation, and 3 cases (33%) of lung masses. CT scan showed 5 cases (56%) lung real