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CT 诊断Castleman 病1 例.pdf

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CT 诊断Castleman 病1 例.pdf

收稿日期20110507作者单位安徽省G99州市人民医院影像中GAB,236000作者简介GC3G97友1982,男,GCA院医师G21文章编号G2210002200201204049502G21GDCGFC报GE8G21CT诊断CASTLEMANGAE1例解福友G23G80晓G81G23章辉GBEG21关键词G22G90淋巴GB1G9A生;CASTLEMANGAE;淋巴GB1;断GE6GF1影术,XGE0计GE9GC8G21中国图书资料分类法分类号G22R7334G21文献标识码G22AGBBGB0G90淋巴GB1G9A生G8B又GBDCASTLEMANGAEGB7血G88GED泡GB0淋巴组织G9A生GAE,G9D一种G94GB3的原因G9AGDF的淋巴组织GC3常G9A生GB0GF3GAEGAEGAF上GE2淋巴GD4GED泡G9A生GACGC2征2010年5GFF,GC6科诊断1例CASTLEMANGAE患者,GDD作报道1G7CG7D资料患者女GB0,22GBB,GDBGF8,GFEG8E发育GBBGF0,GFFGA0GEAGEBGFE温血GFE脉GC2GC0吸G92正常,G8A其他G9AGE4在GC6院GFE检发GDDG88GCCGCB膜G83GE2位GB3GB41;G98G9AGB2CTGCB一GA9检查,GAEG90GD4GE5脉期G93GDFG8BGB2GC5,CT值接近GD4GE5GE5脉,GAEG90内GB3裂隙G8AG8AGB2GC5GB6GB3GB42,随着G9CGFAGA3GCEGAEG90内G8AGB2GC5GB6G8CG8C清G97缩GCAGB3GB434G84G9CGB4GDC来GB5GD4叶GFA组织肿瘤G83GA0GD9术切GDAG8FG98GAEGAF检查,报GEFCASTLEMANGAE,透GDF血G88GC92讨论CASTLEMANGAEG9D一种G94GB3的GBBGB0肿瘤GD4GAEGC1,G95据GAEGAF表GDDGBDGC4GAC3GC912透GDF血G88GC9,G88G98G99GC9,兼GCF2GC9GAEGAFGC2点的GD5合GC9GB7中GFAGC9GCCGE1,GB8GB9按GAEGC1的GA1G89GA7其GC4GACG9F限GC9G81GF0GCBGC9CASTLEMANGAE的CT表GDDGE7GAEGAFGC4GC9GB8GB9GEBGC9密切相GFC透GDF血G88GC9多表GDDGACG9F限GC9GAEG90,其CT表GDDGAC单发GDC组织肿块,G8FGF4多表GDDGACG92匀GB7G9AG92匀肿块,GA1GC5G94GB3GB2GC5GC2点GAC早期G93G92匀中度GB7高度GB2GC5,CT值接近GE5GE5脉,GA3GDEGF4GF5GE7GE0GE1GB2GC5,GB2GC5GF9G92GE7GE5GE5脉G9BGA9,高GB2GC5表GDDGE7透GDF血G88GC9G93GE3多的供养血G88,加之GAEG90血G88G9A生GF3GD3G98血G88GC3常G9A生G81G99张G93GFC其次GB2GC5GF6GC3GE8GBDGB8GE7GC9GCAGA5GE2剂的GF9G92GC4GCCG81剂GD6G93GFC3G94GD8GAEGC1G9AGB2早期肿块内G9F部GB3GEAGCAG8AGB7裂隙G8AG8AGB2GC5GB6,GA3GDEGF4GF5G9AGB2GC5GB6G93缩GCAGB7消GEF,即表GDDGACGDFG8B的GD8G86边GDB中央G8CGCBGB0GB2GC5的GF9G924多GD8学者57GEEGAC,GAEGC1内部的GB8GA4GC4G99G8AGB7簇G8AGA1GC5GC6G9DCASTLEMANGAE的GC2点之一,GD5GEEGACG92GB3GD4透GDF血G88GC9的G9F限GC9,GA1GC5GC4GF2GD4GAEG90中央GA1GC5原因GD8GD4G9A生GD3G98血G88壁G9AGF6,GD5GF3G93玻璃GD4GC1GB0纤维GC5GC1GB0等,GA1G97GEB着GA1GC1的GCA血G88壁沉GD2GA4G88GC4G99G8AGA1GC5G88G98G99GC9的CASTLEMANGAE多GACGF0GCBGC9,GD8GD4血G88G88GC4GE3G94,一般GB2GC5程度G9A如透GDF血G88GC9,G93GBE中度GB2GC5,其CT表GDDGEEG8EGC2征GB0CASTLEMANGAE90GE2上GAC透GDF血G88GC94,其中904的单发透GDF血G88GC9在CTG9AGB2GF4GF5中GCFG93早期G81GE0GE1GB0中高度GB2GC5的GC2征,G94GD8GAEG90内GBDGB3GEAGCAG8AGB7裂隙G8AG8AGB2GC5GB6,如G8ECTG8FGF4发GDDGAEG90内GF3G93典GC9的GC4G99G8AGB7簇G8AGA1GC5,GFAGB2G9A提示CASTLEMANGAE的诊断G9BG9C,GE7G9CGB0GAE种血供丰GEEGB7合G8FGA1GC5的肿瘤G87肿瘤GD4GAEGC1GEA别1GAAG9FGA0GEDG98G99瘤GE7G9F限GC9GE9GBDGB6GC4,GA4GBDGF3G93丰GEE的G99张GBDGDF血G88,GE9常常GEB着GE5GE5脉生GCE,CASTLEMANGAEGFA594蚌埠医学院学报2012牟4月第37卷第4期万方数据按淋巴GD9GC4GF2,GCDGD5G95GAEGC1GC6GBDGE2GF3G93GA1GC5,GE9G9A会G82GDDGEB瘤内GCA血G88G93随GC8GC4GF2的GC4G99G8AGA1GC5O2GA0G99G98G99瘤O多GE7大血G88相邻,GF0然GB2GC5的GF9G92G81表GDDGBDGE2GEBGF2CASTLEMANGAE,GE9密度G9AG92匀,G81GB6G87G81囊GC1,G9BGD4GC6GBDGE2GA1GC5,GE9GC2点G9AG9BGD4CASTLEMANGAE的GA1GC5GC4GF2GC2点,GB8GB9上常G93GC3常波GE5的恶GB0高血GFE表GDD24HGF6G81草GE1桃G88GDAGD6检查G93GEA别诊断价值O3GA6GA1膜GB1核GA4G88的肿块,多边界G9A清,GAEG90一般GACG9AGEAGFAGB2GC5GB7边缘GB2GC5O4G84GE5脉GFE瘤,G93GC2GDA的发GAE部位,GB8GB9上肿块G93波GE5感,G84内GE1GE5脉GC4叉GFAGE5G9A宽的GC2征GB0表GDD,G84GE5脉血G88造影GBDGDF确诊断O5G8AGB0GE9瘤G8AGECGB8GB0GA0G99G98G99瘤GB7胰岛G98G99瘤等GE7G8AGA1GC5的G9F限GC9CASTLEMANGAEG9AGB2GC2征GABGAC相GF2,GEA别诊断GE3GBCGBD,多GDEGAD术G83GAEGAF证实OGE9G88G98G99GC9CASTLEMANGAEGD8GD4血G88G88GC4GE3G94,G9AGB2GF4GF5GB2GC5常G9AG8BG90,诊断GE3GACGBCGBD,GDEGAD密切GB1合GB8GB9G8BG8AGAEGF8GC2点,诊断GE5GAD依G8FGAEGAFG81G8BG8C组织GC5学GC4GE7OG21参考文献G221李惠民,GF5险峰,GF2GAC生,等多中GABGC9CASTLEMANGAECT表GDD附1例报GEFGE7GBFGEEGCE习J实G8AGEAGCA学杂GDF,2003,1976546562MAGRINIU,LUCIONIM,INCACARDONAP,ETALCASTLEMANSDISEASEUPDATEJPATHOLOGICAL,2003,9552272293GUIHOTA,COUDERCLJRICAUDE,ETALTHORACICRADIOGRAPHICANDCTFINDINGSOFMULTICENTRICCASTLEMANDISEASEINHIVINFECTEDPATIENTSJJTHORACIMAGING,2007,2222072114GE8纯GC2,万霞,孙GF1男,等CASTLEMANGAE的CT诊断附9例报GEFJGB8GB9GEAGCA学杂GDF,2008,2768478505KIMTJ,HANJK,KIMYH,ETALCASTLEMANDISEASEOFTHEABDOMENIMAGINGSPECTRUMANDCLINICPATHOLOGICCORRELATIONSJJCOMPUTASSISTTOMOGR,2001,2522072146王仁GA0,GE2G8EG93,GA6佳,等胸部CASTLEMANGAE的XGE0G81CT表GDDGE7GAEGAFGA5G91JGB8GB9GEAGCA学杂GDF,2002,2186056087GAE春GD7,李惠民,GF2GAC生G90大淋巴GB1G9A生G8B的GB8GB9GAEGAFG87影像学表GDDJ实G8AGEAGCA学杂GDF,2004,205460462G23本文编辑刘潞G24收稿日期20101215作者单位GD1北GE3工G94医院医GFEGCE团G9FGA0内科,安徽GD1北235000作者简介GB2G94军1967,男,GE5任医师G21文章编号G2210002200201204049602G21GDCGFC报GE8G21高血GFE脑GAE合G8F脑干GCA脑损害1例G28G82GF3G21关键词G22高血GFE脑GAE脑损伤脑干GCA脑G21中国图书资料分类法分类号G22R7432G21文献标识码G22B患者男GB0,40GBB,煤GE3工人O3G85GBEG8AGDFG8B诱因G82GDD头晕GF3G99GE6G96糊,G84G9CG8AG99GE6GD7转G81恶GAB呕吐,血GFE220/150MMHG,GDEGDF静脉GDD液G81口GBE降GFEGFFGFDGFEO4HGBE患者头晕G95然加重GF3G99GE6GD7转,G8A耳GEC听GB9G9C降,G8A头GFD恶GAB呕吐G9AGFEG82GCEG8AGB9G92GE4GD1GEFGAEGAF等G8BG8A,血GFE180/120MMHG,G8F诊头颅CT检查提示GCFGCC基底核GB6G81脑干多发低密度GAEG90O患者既G9CG93高血GFEGAEGF8,GE9GDBGA1GA2的检查G81GFDGFE,GA0GCB30G99/日X20年,GF7250ML/日X10年OGFEG8E检查T365C,R18次/GC4,血GFE180/120MMHGOG9F清,GC3G9FGE5GE6,语言清G97,GCFG86G99G84头水肿,G99GFC膜GBDGB3GA2GC6G8AG82血,颅G9FGA0检查正常,四G9AGE4GB95级,GE4张GB9正常,四G9AGE7G9AGCAGA5GBD2,各种感觉正常,GCFGD9GBE度位置GB0G81GD1GDBGB0GD1颤,GA5GFDGBBGF0,脑膜GACGB1征OGCFGA5听诊正常OGAB率105次/GC4,GEB齐,GAB尖GC2GE5G9AGB2,第二GAB音GA5GE5脉GCAGB6GE5GE5脉GCAGB6,G8AGAEGAFGB0杂音,GCBGDC,肝脾G8A肿大,GCFG9CG9AG8A水肿O血常GEA血糖血GAA血GACGC3G97正常血GE4酥191MOL/L,GF6素氮857MMOL/LG9A高GF6G88437MOL/L,G84G88脱氢酶527U/LG9A高胸部XGE0片GABGC1GE1GA4改GC1,GB4GDC高血GFEGB0GABGC1GAEOGABGACGB4GB8GBEGC4G99GA8导GB6GDC,GE8GF2GBEGFA壁GABGE4GB5G87,G88GAB室肥GF6,T波GC1GC5OGABGC1GC1GC2GB8GAB房G99大,GB8GAB室GBE度肥GF6,GB8GAB室GD5张GECGB8减GA1,GE5GE5脉GCAGBE度G9AGC4O头颅MRI示脑GA6GCFGCC中脑GCA脑GC3常GA6号,T1WI低GA6号,T2WI高GA6号,FLAIRGDFG8B高GA6号,GC9GF8造影剂GAEG90G8AG9AGB2,GB4GDCGAC脱髓GA3GAEG90基底核GCFGCCGEAGCA冠半卵圆中GAB多发点片G8AGCET1GCET2GC3常GA6号,诊断GACGE1隙GB0脑GB5G87GB3GB413OGF8院诊断高血GFE脑GAE,多发GB0GE1隙GB0脑GB5G87OGDEGDF脱水降血GFEGFDGFE,患者血GFE逐G8C降G91140/80MMHG,3G86GCE查头部694JBENGBUMEDCOLLG22APRIL2012G22VOL37G22NO4万方数据

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