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小儿支气管透X线异物放射诊断价值的探讨(附60例报告)

Study on the value radiodiagnosis for radioparent bronchial foreign bodies in children
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摘要 目的 :探讨放射诊断对小儿支气管透X线异物的诊断价值。方法 :回顾性分析近 5年我院 6 0例小儿支气管透X线异物的住院病例 ,年龄 5岁以下 ,全部经X线透视及分别摄有呼、吸气相胸片 ,均经纤维支气管镜取出异物。结果 :异物种类大多数为成形食物 ,少数为塑料制品 ;异物大部分位于右侧支气管 ,少部分位于左侧支气管 ;X线表现有 :肺气肿、纵隔摆动、移位、横膈运动或位置异常、肺炎、肺不张等。结论 :患支气管透X线异物的小儿 ,透视检查能够动态观察横膈运动及纵隔摆动移位 ,对判断异物存在与否及异物位置方面起重要作用。 Objective: To study the value of radiodiagnosis in the diagnosis of radioparent bronchial foreign bodies in children. Methods: 60 in-hospital children cases with radioparent bronchial foreign bodies in recent 5 years were analyzed retrospectively. The children were all under the age of 5, and all underwent fluoroscopy. All the cases, expiratory-phase and inspiratory -phase chest films were got, and the foreign bodies were extracted with fikerbroncho-scope. Results: Most of the foreign bodies were formed foods, the minor were plastic productions. Most of the foreign bodies lied in the right bronche, and the minor lied in the left bronche. X-ray manifestations were: pulmonary emphysema, pendular mouement or translocation of the mediastinum, movement or translocation of the diaphragm, pneumonia, atelectasis, and etc. Conclusion: Children with radioparent bronchial foreign body, fluoroscopy can dynamically observe the movement of the diaphragm and the pendular movement or translocation of the media stinum, and plays an important role in determining whether there is a foreign body and where the foreign body is.
出处 《河北医学》 CAS 2003年第7期581-584,共4页 Hebei Medicine
关键词 支气管 透X线异物 小儿 放射诊断 Bronche Radioparent foreign body Children Radio diagnosis
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