肺灌注显像、X线摄片、肺功能测定和血气分析对肺结核病人的临床综合评价

A clinical synthetical evalution for radionuclide lung perfusion imaging radiography pulmonary function and blood gas analysis in patient with pulmonary tuberculosis

对３６例肺结核病人做了９９ｍＴＣ－ＭＡＡ单光子发射计算机断层（ＳＰＥＣＴ）、Ｘ线胸片、肺功能测定和血气分析，并进行临床综合评价。认为Ｘ线检查仍是最重要的常规检查方法，ＳＰＥＣＴ属先进的无创性技术，有助于了解肺血流灌注情况，弥补了Ｘ线检查的不足。肺功能是了解病人呼吸功能必需的手段，尚不能为其它方法所替代，血气分析对重症病人病情估价和指导治疗有积极意义。联合应用上述检查，可全面了解肺病变和肺整体功能状况。

patients with pulmonary tuberculosis were investigeted with 99mTC-MAA single photon emission computed tomography (SPECT),detection of pulmonary function,radiography and blood gas analysis. Synthetial evaluation was made. In conclusion,radiography is still the most important routine examination procedue;SPECT is an advanced noninvasive detective method,which is helpful to understand blood perfusion of lungs;detection of pulmonary function is necessary for evaluating pulmonary function of patients with pulmonary tuberculosis and can not be taken place by other methods. Blood gas analysis showed positive significance in evaluating serious patient and guiding treatment.If these examinations were applied,the lung lesion and respiratory function would be understood as a whole.