Imagerie moderne des pneumonies infectieuses aiguës

EMC - Radiologie Pub Date : 2004-02-01 DOI:10.1016/j.emcrad.2003.10.002

D Jeanbourquin (Professeur Agrégé du Val de Grâce, chef de service), F Minvielle (Spécialiste des Hôpitaux des Armées), T Le Bivic (Spécialiste des Hôpitaux des Armées), L Hauret (Spécialiste des Hôpitaux des Armées), A El Fikri (Spécialiste des Hôpitaux des Armées), A.-M Dion (Assistante-chef de clinique des Hôpitaux des Armées), J Baccialone (Spécialiste des Hôpitaux des Armées)

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引用次数: 4

Abstract

The acute infectious pneumonia constitute a problem of public health because they are one cause of great morbidity and mortality in adult. If the clinical and radiological information allow often to achieve the diagnosis of infectious pneumonia, the etiologic diagnosis is more difficult. Indeed, numerous pathogen germs are responsible of pneumonia and the reaction of lung is not very various, this explain the low specificity of radiological imaging, except for few characteristic cases. That’s why the understanding of physiopathologic mechanisms allow to explain some special cases. In the same way, the knowledge of anatomical and radiological understanding allow the acknowledgment of three main radiographic appearance. As for the evaluation of epidemiological and immune contexte, they can allow to recognize the concern germ.

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急性感染性肺炎的现代成像

急性传染性肺炎是成人发病率和死亡率较高的疾病之一，已成为一个公共卫生问题。如果临床和影像学资料允许常常达到传染性肺炎的诊断，则病因诊断比较困难。的确，导致肺炎的病原菌众多，而肺部的反应也不是很多样，这就解释了除了少数特征性病例外，放射成像特异性较低的原因。这就是为什么对生理病理机制的理解可以解释一些特殊情况。以同样的方式，对解剖学和放射学知识的理解允许承认三种主要的放射学表现。对于流行病学和免疫环境的评价，它们可以让人们认识到有关的细菌。

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EMC - Radiologie

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