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中华肺部疾病杂志(电子版) ›› 2022, Vol. 15 ›› Issue (05) : 739 -741. doi: 10.3877/cma.j.issn.1674-6902.2022.05.035

短篇论著

8例鹦鹉热衣原体肺炎临床特征分析
徐心怡1, 曹磊1,(), 刘澄英1   
  1. 1. 214400 江阴,南通大学附属江阴医院呼吸与危重症医学科
  • 收稿日期:2022-04-17 出版日期:2022-10-25
  • 通信作者: 曹磊

Clinical characteristics of Chlamydia pneumonia in eight cases

Xinyi Xu1, Lei Cao1(), Chengying Liu1   

  • Received:2022-04-17 Published:2022-10-25
  • Corresponding author: Lei Cao
引用本文:

徐心怡, 曹磊, 刘澄英. 8例鹦鹉热衣原体肺炎临床特征分析[J]. 中华肺部疾病杂志(电子版), 2022, 15(05): 739-741.

Xinyi Xu, Lei Cao, Chengying Liu. Clinical characteristics of Chlamydia pneumonia in eight cases[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2022, 15(05): 739-741.

鹦鹉热衣原体肺炎是由鹦鹉热衣原体导致的肺部感染,通过吸入受污染的禽类粪便、羽毛或组织传播,罕见发生人人传播感染[1,2]。鹦鹉热衣原体肺炎临床表现为轻症或爆发性肺炎[3]。爆发性鹦鹉热衣原体肺炎表现为重症肺炎、急性呼吸窘迫综合征、脓毒症和多器官功能障碍综合征[4]。鹦鹉热衣原体肺炎症状无特异性,检测局限,不易被诊断,患者常因漏诊得不到有效诊治[5]。宏基因组二代测序(mNGS)技术可准确诊断鹦鹉热衣原体肺炎,减少病情延误[6]。本文对2021年1月至2022年01月我院收治的8例鹦鹉热衣原体肺炎患者进行分析,报道如下。

表1 鹦鹉热衣原体肺炎临床特征
表2 鹦鹉热衣原体肺炎患者实验室检查结果
图1 患者治疗前后HRCT;注:A:患者1入院时(2021-05-26)HRCT提示左肺上叶见斑片状、絮状高密度影,其内见支气管充气征,2021-07-28复查HRCT可见炎症基本吸收;B:患者2入院时(2021-02-20)HRCT提示右肺中叶、下叶见片状实变影,双侧胸腔积液,2021-04-14复查HRCT可见炎症较前吸收好转,胸腔积液基本吸收
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