咯血病因的CT诊断

目的 讨论咯血病因的CT诊断。方法 对60例临床有咯血的患者行常规胸部CT检查。感兴趣区域行薄层高分辨率CT扫描。一部分病例有细胞学，一部分病例有临床诊断结果。结果 60例中肺癌20例，表现为肺野内或肺门不规则形肿块。肺结核23例，陈旧性肺结核6例，表现为纤维条索灶或钙化。浸润型肺结核17例，其中并空洞8例，表现为肺内片状影，伴或不伴空洞。支气管扩张10例，表现为囊状及柱状扩张。其它8例。结论 CT对咯血的病因诊断及鉴别诊断有重要价值。

CT diagnosis of the hemoptysis cause

Purose To study CT diagnosis of the hemoptysis cause. Methods 60 patients with hempotysis performed CT scanning. HRCT of region of interest was performed.Some have clinically or pathologically proved. Results The manifestation of lung cancer is round or irrggular mass in pulmonary fields. The findings of tuberculosis are pieces of shadow, cavity and calcification. The bronchiectasis show cystiar or cylindroid bronchial ectasia. Conclusion CT scanning is especially valuable for the diagnosis of the cause of hemoptysis.