摘要
目的探讨静脉注射海洛因致继发性金黄色葡萄球菌肺炎的临床和影像学表现特点。方法16例25～45岁男性,均有不洁注射海洛因史,均具有急性肺部感染的症状和体征,身体其他部位均未查及感染灶,白细胞均高于正常,全部病例做X线胸片,5例加做螺旋CT。以回顾性分析方法分析资料。结果全部患者尿海洛因试验呈阳性,血培养均有金黄色葡萄球菌生长。影像学发现肺实变12例,肺气囊12例,空洞6例,胸膜病变6例,多有2种以上影像学表现同时存在。并发右心内膜炎4例,病毒性肝炎5例,贫血5例。结论本组病例临床和影像学表现与非吸毒性继发性金黄色葡萄球菌肺炎相似,但身体其他部位无感染灶,合并症较多,肺气囊较多见。
Objective To explore the ch ar acteristics of clinical and imaging findings in staphylococcal pneumonia induced by intravenous injection of heroinMethods Data of 16 m ale cases aged 25 to 45 years, with histories of unclean intravenous injection o f heroin and symptoms and signs of acute pulmonary infection, increased counts o f white blood cells and without infections in the other parts of the body, were analyzed retrospectively Each case had a chest X-ray film and 5 of them got a dditional spiral CT imagesResults Heroin was positive i n all their urine samples and staphylococcus could be found in all their blood culturesConsolidation could be seen in 12 cases, pneumonocele in 12 cases, cav ities in 6 cases and pleural lesions in 6 cases in their pulmonary imagings, mos t of them with more than two kinds of changes in imagings Endocarditis was com plicated in their right hearts of 4 cases, hepatitis in 5 cases and anemia in 5 casesConclusions In these cases,clinical characteristic s and imaging features were similar to those of staphylococcal pneumonia in non -heroin abusers, but no infection was found in other parts of the body,more com plications and pneumonocele were found
出处
《中华全科医师杂志》
2005年第4期219-221,i002,共4页
Chinese Journal of General Practitioners
