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[石棉肺。计算机断层扫描与传统X线诊断的比较]

[Asbestosis. Computed tomography in comparison with conventional roentgen diagnosis].

作者信息

Leipner N, Brecht G, Holle J P, Lackner K, Ehlenz P, Magnussen H

出版信息

Rofo. 1984 Sep;141(3):275-84. doi: 10.1055/s-2008-1053133.

Abstract

Thirty patients (27 men and 3 women) with an average industrial asbestos exposure of 19 years have been examined. The results of conventional radiography and CT have been analysed and compared with pulmonary function studies. The advantages of CT depend on a better demonstration of the pleura and lung periphery. In 24% of cases plaques were diagnosed by chest x-rays which could, however, be excluded by computed tomography. Correct prediction of restricted ventilation was possible in 84% patients by means of CT. On the other hand, this prediction by means of conventional radiographs could be made reliably only if there was extensive fibrosis.

摘要

对30名平均有19年工业石棉接触史的患者(27名男性和3名女性)进行了检查。分析了传统X线摄影和CT的结果,并与肺功能研究进行了比较。CT的优势在于能更好地显示胸膜和肺周边。胸部X线片诊断出斑块的病例占24%,但计算机断层扫描可排除这些斑块。通过CT,84%的患者能够正确预测通气受限情况。另一方面,只有在存在广泛纤维化的情况下,通过传统X线片才能可靠地做出这种预测。

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