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重症监护患者胸部X线片解读。病理解剖与X线检查结果对比(作者译)

[Interpretation of chest roentgenograms of intensive care patients. A comparison of pathoanatomical and roentgenographic findings (author's transl)].

作者信息

Peters P E, Walther B, Brand V, Bürk G, Wendt M

出版信息

Prakt Anaesth. 1979 Apr;14(2):111-5.

PMID:450844
Abstract

Chest roentgenograms made within 24 hours of death were compared to the autopsy findings. Out of 150 unselected autopsy records of the years 1973/74 and 1976/77 50 and 91 cases respectively were suitable for evaluation. Since 1973/74 the radiographic technique has been considerably changed by the introduction of powerful condenser discharge equipment and the use of highly intensifying screens. Daily discussions with the physicians in charge of the intensive care unit and routine comparison of the pathological and radiological findings were also introduced. The success of these measures is reflected in the greater diagnostic accuracy in respect of the case material for the 1976/77 period. Comparison of the findings in cases of pulmonary embolism exposed the limitation of diagnostic radiology.

摘要

将死亡后24小时内拍摄的胸部X光片与尸检结果进行了比较。在1973/74年和1976/77年的150份未经挑选的尸检记录中,分别有50例和91例适合进行评估。自1973/74年以来,由于引入了强大的电容放电设备和使用了高增感屏,放射照相技术发生了很大变化。还开展了与重症监护病房主管医生的日常讨论以及病理和放射学结果的常规对比。这些措施的成效体现在1976/77年病例材料的诊断准确性更高。对肺栓塞病例检查结果的比较揭示了诊断放射学的局限性。

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