《呼吸系统教学资料》呼吸影像学诊断-瑞金陆勇.ppt
Thoracic Imaging胸部影像学,Chest P-A X-ray Filming,患侧靠片,确定病变在肺或纵隔内的位置,Chest Lateral X-ray Filming,Normal Chest X-ray,正常男性胸片,Normal Chest X-ray(P-A&L),Bronchial Carinal Angle,基本病变 Fundamental Lesions,认识基本病变是诊断的基础影像表现与影像诊断之间的有效桥梁钙化纤维化空洞浸润性肺结核Calcification+Fibrosis+Cavity渗出Infiltration肺炎团块Mass占位性病变气胸,胸腔积液胸膜病变Pneumothorax&Pleural Effusion,Bronchitis,Bronchitis,肺部病变渗出增殖纤维化钙化肿块空洞与空腔间质性变化,治疗后,男性 65岁咳嗽、咳痰和/或伴有喘息10年Coughing,expectoration a/o wheeze 10 yrs体检:桶状胸,听诊两肺罗音PE:barrel chest,bilateral rale,年龄 20岁突发单侧胸痛Sudden unilateral chest pain高热High fever咳铁锈色痰Iron-rust sputum,男性 55岁咳嗽,咳痰1月Coughing and expectoration 1m不规则发热2周Irregular fever 2 wWBC升高,中性为主有心脏病史With cardiac disease history,男性 65岁咳嗽,咳痰2月原有结核病史,结核病新动向,成年人生小孩病:原发综合征、粟粒性结核Primary TB,Miliary TB肺外结核增加:肠结核,骨关节结核,Extrapulmonary tuberculosis:colon,MSK TB难治性结核增加Intractable tuberculosis 免疫缺陷病伴发结核增加-AIDS的常见直接死因AIDS with TB,刺激性干咳 barking coughing痰中带血 blood-stained sputum 发现骨转移 bone metastasis肥大性关节病、HORN SDhypertrophic arthropathy 上腔静脉综合征superior vena cava syndrome,原有肿瘤病史Neoplasm history,思考题,结核病的分型The clinical types of TB中央型肺癌的影像学表现(注意为影像学表现)The imaging appearances of central type pulmonary carcinoma.周围型肺癌的X线表现The X-ray manifestation of peripheral lung cancer.,