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成人纵隔、肺门淋巴结结核X线间接征象的探讨

Investigation of Indirect Signs of Lymph Node Tuberculosis in Adult’s Hila and Mediastinum

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【作者】 王明友刘加俊胡效坤华逢涛刘文银

【Author】 Wang Mingyou Liou Jiajun Hu XiaoKun et al

【机构】 山东省平邑县人民医院放射科山东省平邑县人民医院放射科

【摘要】 本文通过对40例成人纵隔、肺门淋巴结结核的观察,发现除其直接征象以外,还有一些间接征象:(1)局限性支气管相(36/40),(2)局限性肺纹理紊乱或伴小点片影(33/40),(3)右下肺动脉改变(30/40),(4)肺门区及结节内钙化(18/40),(5)肺内结核灶(12/40),(6)叶间胸膜增厚(6/40)。正确认识这些间接征象,对本病诊断具有重要意义,并对这些间接征象的病理机制和诊断价值进行了讨论。

【Abstract】 Observing tuberculous lymph nodes in hila and mediastinum of 40 adult cases, the authors studied direct X—signs and especially indirect signs. The latter included: (1) localized bronchial signs (36/40), (2) localized disorderly lung markings or accompanied with small mottlings (32/40), (3) changes of right pulmonary artery (30/40), (4) calcification in the hila and lymph nodes (18/40), (5) tuberculous lesions in the lungs (12/40), (6) thickening of interlobar pleura (6/40). Realizing these indirect signs is important for the diagnosis of this disease. The pathological mechanism and the value of these indirect signs in diagnosis were also described.

【关键词】 肺门纵隔淋巴结结核
【Key words】 HilaMediastinum.Lymph nodeTuberculosis
  • 【文献出处】 实用放射学杂志 ,Journal of Practical Radiology , 编辑部邮箱 ,1993年01期
  • 【被引频次】5
  • 【下载频次】20
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