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[放射性核素肺显像在工业工人预防性群体筛查中的应用]

[Comprehensive radionuclide lung imaging in preventive mass screening of industrial workers].

作者信息

Kinoshenko Iu T, Rozdilśkiĭ S I, Ginzburg M A, Snopkov Iu P, Tkachenko G I, Belaia L M, Lavrova E V, Rozdilśkaia O N, Astapéva O N

出版信息

Vestn Rentgenol Radiol. 1991 May-Jun(3):65-8.

PMID:1364801
Abstract

The results of a combined roentgenoradionuclide investigation of the lungs were studied in 45 persons at risk of developing chronic nonspecific pulmonary diseases, diagnosed in a mass screening of 3000 workers at an industrial enterprise. The results of fluorographic, roentgenoscopic and roentgenographic investigations of the lungs, roentgenopneumopolygraphy and radionuclide investigation of lung perfusion (pulmoscintigraphy with 99mTc-labeled albumin macroaggregates) were compared. During this combined investigation the signs of nonspecific pulmonary diseases were diagnosed in 40% of the patients, changes of the pulmonary blood flow--in 71%, changes of ventilation--in all the examinees. A conclusion was made of the necessity of additional combined investigation of patients belonging to risk groups, identified during mass screenings.

摘要

对一家工业企业3000名工人进行大规模筛查时诊断出的45名有患慢性非特异性肺部疾病风险的人员,研究了肺部X线与放射性核素联合检查的结果。比较了肺部荧光摄影、X线透视和X线摄影检查、X线肺多谱描记术以及肺部灌注放射性核素检查(用99mTc标记的白蛋白大聚合体进行肺闪烁扫描)的结果。在这项联合检查中,40%的患者被诊断出非特异性肺部疾病的体征,71%的患者有肺血流变化,所有受检者均有通气变化。得出结论,有必要对在大规模筛查中确定的风险组患者进行额外的联合检查。

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