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麻醉诱导的肺大叶性肺不张:计算机断层扫描假阳性的一个原因。

Anesthesia-induced pulmonary macroatelectasis: a cause of false-positive computerized tomography.

作者信息

Horev G, Heller R M, Kirchner S G, Paris W C

出版信息

South Med J. 1986 Sep;79(9):1181-2. doi: 10.1097/00007611-198609000-00040.

DOI:10.1097/00007611-198609000-00040
PMID:3018945
Abstract

In three pediatric patients having CT of the chest done under general anesthesia, we encountered multiple areas of macroatelectasis in the lung. All patients had malignant disease, and the chest findings could have been interpreted as metastatic spread to the lung. To prevent this critical false-positive diagnosis, we believe general anesthesia for CT of the chest should be given with controlled rather than spontaneous ventilation.

摘要

在三名接受全身麻醉下胸部CT检查的儿科患者中,我们在肺部发现了多个大面积肺不张区域。所有患者均患有恶性疾病,胸部检查结果可能被解释为肺转移。为防止这种严重的假阳性诊断,我们认为胸部CT的全身麻醉应采用控制通气而非自主通气。

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1
Anesthesia-induced pulmonary macroatelectasis: a cause of false-positive computerized tomography.麻醉诱导的肺大叶性肺不张:计算机断层扫描假阳性的一个原因。
South Med J. 1986 Sep;79(9):1181-2. doi: 10.1097/00007611-198609000-00040.
2
Chest CT in children: anesthesia and atelectasis.儿童胸部 CT:麻醉与肺不张。
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Practical techniques for pediatric chest computed tomography.儿科胸部计算机断层扫描实用技术
J Comput Tomogr. 1983 Feb;7(1):31-9. doi: 10.1016/0149-936x(83)90020-6.
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Lung collapse and gas exchange during general anesthesia: effects of spontaneous breathing, muscle paralysis, and positive end-expiratory pressure.全身麻醉期间的肺萎陷与气体交换:自主呼吸、肌肉麻痹及呼气末正压的影响
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Computerized tomography of the chest and gas exchange measurements during ketamine anaesthesia.氯胺酮麻醉期间的胸部计算机断层扫描及气体交换测量
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Determining the cause of pulmonary atelectasis: a comparison of plain radiography and CT.确定肺不张的病因:X线平片与CT的比较
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7
[Lung collapse. A common phenomenon during anesthesia].
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Re-expansion of atelectasis during general anaesthesia: a computed tomography study.全身麻醉期间肺不张的再扩张:一项计算机断层扫描研究。
Br J Anaesth. 1993 Dec;71(6):788-95. doi: 10.1093/bja/71.6.788.