目的:探讨、总结人粒细胞无形体病(HGA)的临床和影像学表现.方法:回顾性总结和分析42例HGA的临床和影像学资料.42例中32例行胸透和/(或)胸片检查;8例行CT检查.结果:42例均有中、高热和白细胞、血小板减少,38例血清谷丙和/(或)谷草转氨酶升高,35例心肌酶谱升高,蛋白尿(少部分含管型和红细胞)34例.实验室检测排除了斑疹伤寒、斑点热、恙虫病、出血热等病原体感染.腹股沟淋巴结增大25例,其中4例伴腋窝淋巴结增大.胸部放射学检查大部分无明显异常或仅见肺纹理增重,仅5例重症患者出现明显异常影像学表现,如纵隔淋巴结增大、肺炎等.结论:出现多发性纵隔淋巴结肿大与肺部渗出性病变等影像学表现的患者,若伴发热、白细胞、血小板减少和多脏器功能损害等主要临床表现时,应想到该病的可能.%Objective: To approach the clinical manifestation and the imageology character of humangranulocyticanaplasmosis . Methods: To analyze the clinical and imageology information of 42 patients by retrospective method. 32 of them had done the inspection of chest fluoroscopy and (or) sternite,8 of them had done the inspection of CT. Results: All the patients had the character of cardiothoracic fever or ardent fever ,aleucocytosis and plate-reduction. 38 cases had the character of the rise of glutamic pyruvic transaminase and (or) the rise of glutamic oxalacetic transaminase. The cardiac muscle creatase were high in 35 patients. 34 patients had the phenomenon of albuminuria. All the patients were excluded camp fever ,akamushi disease and hemorrhage fever. Radiologic and fold inguen lymphadenovarix were found in 25 cases. 4 of them had the lymphadenovarix of axillary nodes. Examination of chest bulk can find nothing or only lung marking increase. 5 severe cases had the augmentation of mediastinal lymph node. Conclusion: When the cases have the imaging appearance of augmentation of mediastinal lymph node or pneumonia and with the clinical manifestation of febricity and aleucocytosis and plate-reduction even multi-organ functional lesion,you should realize the disease.
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