肺炎的影像诊断和鉴的别诊断.ppt

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2017-08-23 发布于湖北
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肺炎的影像诊断和鉴的别诊断.ppt

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肺炎的影像诊断和鉴的别诊断

肺炎的影像诊断和鉴别诊断;;X线平片对于肺炎的价值;;人禽流感肺炎主要采用X线平片检查。;一、人禽流感影像学表现 ;;2.病变形态;病人1(图A)：11岁女孩在发病6天后胸片表现为右肺实变，左下叶斑片状浸润灶。;3.病变部位;早期表现;进展的病例;;4．影像的变化的速度;住院第五天咳嗽、气短，胸片表现为双下肺斑片状肺浸润病灶（图A）。 24小时后，肺炎快速进展，表现为双肺弥漫性肺炎，符合ARDS表现，患者死亡(图B)。 ;合并ARDS;H5N1甲型禽流感患者图b为图a 5天后胸片，显示病变进展较快，双肺全部受累，为ARDS。;;5．影像与临床的联系;;二、???人禽流感肺炎的鉴别诊断;（一）????? 细菌性肺炎;2.肺炎双球菌肺炎;;合并症;;肺叶实变;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;肺段实变;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;肺炎;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;小叶肺炎;3. 军团菌肺炎;;（二）病毒性肺炎;例1;;;;;2．流感肺炎;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;3. 传染性非典型性肺炎（SARS）;;;（三）支原体肺炎（非典型肺炎）;4.X线表现:;4. CT表现;男,53岁,03-10-14受雨淋,17日发热39.5度,WBC6000-5000,;;三、ARDS;ARDS的典型影像表现;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;ARDS;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profil