肺疾病胸片表现.pptxVIP

肺疾病胸片表现（ Chest X-Ray - Lung disease）;2014-2-1发布（Publicationdate February 1, 2014） 胸片显示肺病变，表现为高密度或低密度。 密度增高区称为阴影（opacities），是最常见的。 实践探讨将其分为四类： 实变（Consolidation） 间质性（Interstitial） 结节或肿块（Nodules or masses） 肺不张（Atelectasis） 本文着重讨论以上四型。 文尾讨论低密度异常。; 内 容;一、四种类型;一、四种类型;一、四种类型;1.实变;1.实变;1.实变-肺叶分布;Pulmonary edema of the right upper lobe associated with acute mitral regurgitation. Can Assoc Radiol J 1994 Apr;45(2):97-100 PMID:8149279 Grenon H,Bilodeau S，Department of Radiology, H?pital Laval, Sainte-Foy, Que. To determine the association between mitral regurgitation and pulmonary edema localized in the right upper lobe, the authors reviewed 21 cases of mitral regurgitation secondary to dysfunction or rupture of the papillary muscle or rupture of the chordae tendineae cordis. The patients, 12 men and 9 women ranging in age from 36 to 92 (mean 64) years, had been admitted to a tertiary care hospital between July 1985 and July 1990. Three independent observers, who were unaware of the patients identity or the diagnoses, reviewed the chest radiographs. In eight of the patients pulmonary edema was localized preferentially in the right upper lobe, an unusual pattern that can simulate neoplasia, hemorrhage or infection. All eight patients had myocardial infarction, five had papillary muscle dysfunction, and three had rupture of the posterior papillary muscle. Mitral regurgitation toward the orifices of the veins of the right upper lobe seems to play a role in the preferential distribution of edema to that lobe. Awareness of edema in the right upper lobe in association with mitral regurgitation might lead to earlier diagnosis of papillary rupture or dysfunction and perhaps affect the outcome.;;1.实变-弥漫分布;1.实变-多发局灶分布;1.实变-鉴别诊断;1.实变-鉴别诊断;1.实变-鉴别诊断;1.实变-急性与慢性实变;1.实变-急性、慢性实变;1.实变-肺叶实变;1.实变-肺叶实变;1.实变-肺叶实变;1.实变;1.实变-局部实变;1.实变-局部实变; 1.实变-局部实变;1.实变-弥漫性实变;1.实变-弥漫性实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变;1.实变