胸片阴性自发性气胸的胸部CT诊断

Thoracic CT's diagnosis of spontaneous pneumothorax with orthophoria thoracic X-ray negative

目的60胸部CT对正位胸片未见气胸患者的气胸诊断。方法应用CT对26例患者进行常规扫描。结果所有患者均经CT检查证实为局限性气胸,气体位于前胸部,后背部,胸骨后或纵隔旁。结论胸片阴性的气胸患者,临床表现多种多样,CT是诊断该病的最佳方法。

Objective To inquire into the spontaneous pneumothoraxs(SP) diagnosis by thoracic CT-negative patients with orthophoria thoracic X-ray. Methods 26 cases of SP were scanned routinely by CT. Results All were examined, suffering from local pneumothorax as indicated by CT, whose gases were located in prothoracicpart, back part, retrosternal part or near mediastinal part.Conclusion There are varied clinical manifestations in pneumothorax patients with thoracic X-ray negative. CT was the best diagnosis way of the disease.