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肺结核X线诊断分类500例探讨

Study on 500 cases of X - ray classiflcation of pulmonary tubercalosis

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【作者】 静国庆杨柏荫刘昭何钧

【Author】 Jing Guoqing , Yang Buoyin, Liu Zhao et al TheFirst Affiliated Hospital of Zhang Jiakou medical college , Zhangjiakou 075000 , China

【机构】 张家口医学院一附院放射线科张家口医学院一附院放射线科 075000075000075000

【摘要】 目的:旨在明确肺结核X线分类中两型合并的分类。方法:本文收集经临床、肺结核细菌学和常规胸片确诊的肺结核500例,进行X线分类的探讨。结果:X线分类,原发型167例,合并胸膜炎的6例;血型播散型70例,合并胸膜炎22例;继发型306例,合并胸膜炎74例。Ⅰ~Ⅲ型肺结核合并胸膜炎102例,占总病例数的20.4%。结论:依据病因、发病机理、中国结核病分类法(1998),按原发型肺结核合并结核性胸膜炎、血行散型肺结核合并结核性胸膜炎、继发型肺结核合并结核性胸膜炎,进行X线分型。

【Abstract】 Objective: To clarify the classification method combining two type of pulmonarytuberculosis in radiography. Methods: 500 cases with pulmonary tuberculosis comfirmed by clinical examination , tuberculosis bacteriological examination and ordinary chest films were collected. X - ray classification for these patients was conducted. Results: The X - ray classifications for the studied patients were as following : 107 cases of the primary TB with pleurisy in 6 cases , 70 cases of the blood diffusive TB with pleurisy in 22 cases , 306 cases of the secondary TB with pleurisy in 74 cases and only tuberculous pleurisy in 17 cases. There were total 102 cases of I - III types pulmonary tuberculosis combined with pleurisy (20. 4%). Conclusion: According to the causes and mechanism of TB , there are three types of the pulmonary tuberculosis combined with the pleurisy, that are the primary TB, blood diffiusive TB and the secondary TB. It’ s necessary to modify the radiological Classification of TB Commonly used today .

【关键词】 X线摄影肺结核分类
【Key words】 RadiographyPulmonary tuberculosisClassification.
  • 【文献出处】 张家口医学院学报 ,Journal of Zhangjiakou Medical Collage , 编辑部邮箱 ,2001年04期
  • 【分类号】R521;R816.4
  • 【被引频次】2
  • 【下载频次】24
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