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46例肺栓塞的胸部螺旋CT及X线平片影像学比较
引用本文:黄晓英,黄柿兵,范家栋.46例肺栓塞的胸部螺旋CT及X线平片影像学比较[J].临床放射学杂志,2000,19(2):86-89.
作者姓名:黄晓英  黄柿兵  范家栋
作者单位:1. 北京医科大学第三临床医学院放射科,100083
2. 安徽省安庆石油化工总厂职工医院放射科,246001
摘    要:提高胸部X线平片和螺旋CT对肺栓塞诊断的认识。材料与方法,经临床确诊46例肺栓塞的影像学表现进行回顾性分析。结果胸部X线平片中70%病例肺血管纹理改变为肺少血“缺血区”,呈肺叶、段分布;46%病例有肺动脉、肺门动脉增粗;30%病例贝肺周的浸润灶、纤维索条影及太肺不张;

关 键 词:肺栓塞  X线平片  螺旋CT  CT
修稿时间:1999-06-28

Comparative Study of Helical CT and Plain Chest Film Findings in 46 Cases with Pulmonary Thromboembolism
HUANG Xiaoying,HUANG Shibing,FAN Jiadong.Comparative Study of Helical CT and Plain Chest Film Findings in 46 Cases with Pulmonary Thromboembolism[J].Journal of Clinical Radiology,2000,19(2):86-89.
Authors:HUANG Xiaoying  HUANG Shibing  FAN Jiadong
Institution:HUANG Xiaoying, HUANG Shibing, FAN Jiadong; (Department of Radiology, No.3 Clinical Hospital, Beijing Medical University, Beijing 100083, P.R.China)
Abstract:Objective To make a further understanding of pulmonary thromboembolism sings on plain chest film and helical CT scans.Materials and Methods Imaging features of 46 patients with clinically diagnosed pulmonary thromboembolism were retrospectively analyzed. Results Normal chest film was found in 11% of cases. Abnormal signs were seen on plain chest film, including decreased lung markings (70%), enlarged pulmonary and hilar arteries (46%), foci of infiltration, fibrosis or linear atelectasis (30%). On spiral CT scans all patients demonstrated certain abnormal signs.Conclusion Combination of plain chest film and helical CT scan is the best way to diagnose pulmonary thromboembolism.
Keywords:Pulmonary embolism  Chest radiography  Helical computed tomography
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