数字化摄影（DR）对特发性肺间质纤维化的诊断价值

Diagnosis of Value Digitized Photography （DR） to Sends the Lung Mesenchymal Fibrosis Especially

目的评价胸片DR对特发性肺间质纤维化（IPF）的诊断价值。方法整理分析15例经病理证实的特发性肺间质纤维化的X线表现。结果IPF的主要X线表现有两肺野毛玻璃样，粟粒样及结节网状阴影，晚期可有蜂窝肺表现，部分病例合并出现肺气肿，肺大泡，胸膜肥厚，气胸，肺门、纵隔淋巴结肿大及肺动脉高压、肺心病等表现。结论胸片DR是诊断IPF最普遍，也是最易于被患者接受的检查，当X线与HRCT相结合，对子期诊断IPF，并为临床提供治疗依据有重要意义。

Objective Appraisal sternum DR to sends the lung mesenchymal fibrosis especially （IPF） the diagnosis value. Methods The reorganization analyzes 15 examples to confirm after the pathology sends the lung mesenchymal fibrosis X performance especially. Results The IPF main X performance has two lung wild groundglass type, a millet grain of type and the tubercle lattice shadow, the later period may have the honeycomb lung performance, the partial case merge has the pulmonary emphysema, the lung soaks greatly, the pleural membrane is plump, the pneumothorax, the lung hilus, the mediastinum lymph node is tumescent and performance and so on pulmonary artery high pressure, heart disease from lung disorders. Conclusion Sternum DR is diagnoses IPF to be most common, is also easy the inspection which is accepted by the patient, when X and HRCT unifies, to early diagnosis IPF, and for clinical provides the treatment basis to have the important meaning.