35例坠积性肺炎的胸部X线平片与CT诊断价值分析

35 Cases from a Sexual Pneumonia Chest X Line with the Diagnosis of CT Value Analysis

目的探讨重症患者并发坠积性肺炎的胸部X线、CT(计算机X线体层摄影)影像表现,并分析其诊断价值。方法对我院2009年7月至2010年10月在我院住院治疗的35例重症患者并发坠积性肺炎的胸部X线、CT检查及临床资料进行回顾性分析。结果 35例重症患者CT诊断并发两下肺坠积性肺炎24例,并发单侧下肺坠积性肺炎11例。33例胸腔出现胸水或胸膜反应。X线诊断11例并发两下肺炎,8例并发单侧肺炎,4例诊断胸腔积液,5例提示可疑肺部或胸膜病变,7例未见异常改变。结论坠积性肺炎是重症患者的严重并发症之一,胸部X线检查有一定局限性,常出现假阴性,易漏诊,但简便易行,是急查及治疗后复查的首选检查方法;CT检查无解剖结构重叠,分辨率高,能明确病变的程度、范围,诊断准确,无假阴性出现,是病情允许下的首选检查方法。

Objective To the product of concurrent from pneumonia chest X and X line ct （Computer X line photography）video photography,and analyse its value.the diagnosis.Methods My hospital 2009 july and 2010 in october Patient the hospital for treatment of patients example concurrent from a sexual pneumonia chest X,CT and clinical data analysis.Results 35 cases the ct diagnosis concurrent two lung from a sexual pneumonia24 cases,concurrent one-tailed lung from a sexual pneumonia11 cases.33 cases the chest in water or pleural a response.X line diagnosis 11 cases concurrent two pneumonia,8 casesconcurrent one-tailed pneumonia,4 cases chest effusion 5cases suspicious lungs or pleural disease,7 cases have no an excrescent change.Conclusion From sexual pneumonia the patient is a serious neurological complications of x has a line to check the limitations,often in a feminine simple,easy,but it is urgent to find and review the first inspection after the treatment method is to dissect;CT check the structure of overlapping and definite resolution to the extent and boundaries,diagnosis,no false negative,is it allowed to the first check methods.