Kragten Hans, Höppener Paul, Gielis Albert, de Booij Machiel
Department of Cardiology, Zuyderland Medical Centre, Heerlen, The Netherlands.
Department of Research, Zuyderland Medical Centre, Heerlen, The Netherlands.
BMJ Case Rep. 2016 May 23;2016:bcr2015213904. doi: 10.1136/bcr-2015-213904.
During a routine physical examination, the degree of pectus excavatum (PE) is not always appreciated as the external appearance does not always reflect the severity of the deformity. In the patient in this case report, the severity had been underestimated for 33 years. The physicians, having requested standard two-view chest radiographs, had relied solely on the radiological reports, where the PE had been ambiguously described as 'moderate' or 'substantial'. In patients where PE has been observed, it is essential that an objective numeric measure of severity, using the Haller index, is included in radiological reports.
在常规体检中，漏斗胸（PE）的严重程度并不总是能被准确评估，因为外观并不总能反映畸形的严重程度。在本病例报告的患者中，严重程度被低估了33年。医生要求进行标准的双视图胸部X光检查后，仅仅依赖于放射学报告，其中漏斗胸被模糊地描述为“中度”或“重度”。对于已观察到漏斗胸的患者，放射学报告中必须包含使用哈勒指数对严重程度进行的客观数值测量。
