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Results Interlobular septa thickening was shown in 16 cases; ground-glass opacification was revealed in 14 cases; irregular lines were found in 11 cases, bronchiolcctasis was noted in 7 cases; micro nodules were demonstrated in 4 cases; and honey combing alteration was visualized in 3 cases.
结果 28例肺类风湿性病活动期患者CT异常改变显示：①小叶间隔增厚16例，②不规则纤维索条影11例，③磨玻璃样变14例，④牵拉性细支气管扩张7例，⑤结节状气腔实变病灶4例，⑥蜂窝样灶3例，以网格样及磨玻璃样病变多见。2种表现的CT评分结果与肺弥散功能存在负相关性。
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Resujts:① The distribution of lesions are mostly symmetrical, extensive, predominant in the middle and lower lung fields, and posterior areas in peripheral;② There are so many HRCT findings of lung, ILD is predominant: intralobular interstitial thickening 46 cases (100%), ground-glass opacity 41 cases (89.13%), peribronchovascular or centrilobular interstitial thickening 40 cases (86.96%), interlobular septal thickening 38 cases (82.61%), irregular linear opacity 37 cases (80.43%), small nodular opacity 34 cases (73.91%), subpleural line 27 cases (58.70%), bmnchiectasis or bronchiolectasis 19 cases (41.30%), patch opacity 18 cases (39.13%), expiratory mosaic sign 15 cases (32.61%), interface sign 14 cases (30.43%), honeycombing 12 cases (26.09%), emphysema or bulla 3 cases, cystic airspace suspected 1 case, and atelectasis suspected 1 case;③ Mediastinum and pleura: multiple small lymphonodi in mediastinum 41 cases (89.13%), pleural thickening or rough 38 cases (82.61%), esophagoectasis 11 cases (23.91%), unilateral little pleural fluid 1 case, and mediastinal emphysema 1 case.
结果：①皮肌炎肺部病变分布呈对称、广泛、偏中下、偏外后的特点；②肺部HRCT表现多样，以肺间质性改变为主：小叶内间质增厚46例(100%)，磨玻璃影41例(89.13%)，支气管血管束增宽或小叶核心增大40例(86.96%)，小叶间隔增厚38例(82.61%)，不规则纤维索条影37例(80.43%)，结节影34例(73.91%)，胸膜下线27例(58.70%)，支气管或细支气管扩张19例(41.30%)，斑片影18例(39.13%)，呼气相马赛克征15例(32.61%)，界面征14例(30.43%)，蜂窝影12例(26.09%)，肺气肿或肺大泡3例，单纯囊状气腔1例，肺不张l例；③纵隔及胸膜：纵隔小淋巴结影41例(89.13%)，胸膜增厚或毛糙38例(82.61%)，食管扩张11例(23.91%)，单侧少量性胸腔积液1例，纵隔气肿1例。
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DISCUSSION:Extensive interstitial and alveolar fibrosis results in the characteristic HRCT finding of honeycombing or honeycomb lung.
讨论：广泛的肺间质及肺泡纤维化在HRCT上的特征性表现为蜂窝样改变，或称为蜂窝肺。
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DISCUSSION:Extensie interstitial and aleolar fibrosis results in the characteristic HRCT finding of honeycombing or honeycomb lung.
讨论：广泛的肺间质及肺泡纤维化在HRCT上的特征性表现为蜂窝样改变，或称为蜂窝肺。
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sulfaquinoxaline：磺胺喹恶啉
慢性病例可见纤维素性脑膜炎、输卵管炎、关节炎、退毛后可见背侧或腹侧皮肤发生蜂窝织炎(cellulitis)或坏死性皮炎(常见于封闭饲养的雏鸭). 2)饲料中加入0.025%的磺胺喹恶啉 (sulfaquinoxaline)能降低死亡率. 如果及早治疗,加入0.08%的磺胺间二甲氧嘧啶-甲黎嘧胺(sulfadimethoxine-ormetoprim , SDM-ORM).
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phlegmonous inflammation：蜂窝织炎
(2)蜂窝织炎(phlegmonous inflammation) 发生在疏松结缔组织的弥漫性化脓性炎症,称蜂窝织炎. 常见于皮下组织、肌肉和阑尾. 溶血性链球菌为其主要致病菌,既能产生透明质酸酶降解结缔组织中的透明质酸,又能分泌链激酶,溶解纤维蛋 白,使细菌容易在组织内蔓延扩散,