Steinmetz H
Z Erkr Atmungsorgane. 1977 Jul;149(1):137-8.
In longterm rational controls of clinically significant disseminated sarcoidosis of the lungs 1. standardized X-ray-graphs record the change-over of the granulomatous sarcoidosis stage to a fibrotic one, discrete X-ray-alterations put up to optimistic interpretation, 2. standardized function parameters verify the frequently resting decrease in pulmonary function. In controls over 3-5 years the curve of forced exspiration already signalizes dangerous delayed effects of sarcoidosis (deficient load-arterialization?) in spite of an apparently roentgenological improvement. This statement becomes decisive for individual and industrial-medical prognoses. Herefore 3 examples: A picture of structure and function of disseminated sarcoidoses of the lungs before and after a treatment lasting for years (corticosteroids) with standardized controls.
A standard X-ray-graph is to be evaluated only in combination with standard function parameters. Pay attention to the signal restriction in --2 sigma.
在对临床上显著的肺部播散性结节病进行长期合理控制时,1. 标准化的X光片记录肉芽肿性结节病阶段向纤维化阶段的转变,离散的X光改变可能导致乐观的解读;2. 标准化的功能参数证实肺功能经常处于静息性下降状态。在3至5年的监测中,尽管X光检查结果明显改善,但用力呼气曲线已显示出结节病的危险延迟效应(负荷-动脉化不足?)。这一表述对个体及工业医学预后具有决定性意义。因此举3个例子:展示多年(使用皮质类固醇)治疗前后肺部播散性结节病的结构和功能情况,并进行标准化监测。
标准化的X光片仅应与标准功能参数结合进行评估。注意-2σ时的信号限制。