Hansen M, Kauczor H U, Kelbel C, Mildenberger P
Klinik für Radiologie, Johannes Gutenberg-Universität Mainz.
Aktuelle Radiol. 1995 May;5(3):149-51.
Chronic pulmonary berylliosis presents both in computed tomography, including high resolution techniques, and in plain radiographs of the chest with unspecific results: subpleural micronodular changes, thickening of interlobular septa, occurrence of intralobular septa, traction bronchiectasis, and honeycombing. Conspicuous in high resolution expiratory scans are density inhomogeneities which are interpreted as expiratory obstructions in small airways with ventilation-perfusion mismatches that accompany respiratory partial insufficiency. A differentiation from other pneumoconioses or other interstitial pulmonary diseases is not possible. The significance of CT lies in the exact documentation of the localization and extent of the lesions and in evaluation.
慢性铍肺在计算机断层扫描(包括高分辨率技术)及胸部平片上均有表现,但结果不具特异性:胸膜下微小结节改变、小叶间隔增厚、小叶内间隔出现、牵拉性支气管扩张及蜂窝状改变。高分辨率呼气扫描中明显的密度不均匀被解释为小气道的呼气性阻塞,伴有通气-灌注不匹配及呼吸部分功能不全。无法与其他尘肺病或其他间质性肺疾病相鉴别。CT的意义在于准确记录病变的定位和范围以及进行评估。