中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
18期
104-105
,共2页
胸部HRCT%左心舒张功能不全%肺小叶
胸部HRCT%左心舒張功能不全%肺小葉
흉부HRCT%좌심서장공능불전%폐소협
Chest HRCT%Left ventricular diastolic dysfunction%Pulmonary lobules
目的：探讨胸部HRCT在诊断早期左心舒张功能不全的临床价值。方法：收治早期左心舒张功能不全患者52例，进行胸部HRCT检查，对肺小叶结构主要影像表现出现频率进行分析，分析早期左心舒张功能不全与肺小叶结构变化的相关性。结果：肺小叶Ⅰ级征象表现为胸膜下弧线影频率9例(17.3%)，小叶密度增高频率2例(3.8%)，小叶中心 A 频率16例(30.8%)，小叶间隔增厚频率1例(1.9%)；肺小叶Ⅱ级征象表现为显示胸膜下弧线影频率10例(38.5%)，小叶密度增高频率18例(34.6%)，小叶中心A频率23例(44.2%)，小叶间隔增厚频率21例(46.2%)；肺小叶Ⅲ级征象表现为胸膜下弧线影频率12例(23.1%)，小叶密度增高频率23例(44.2%)，小叶中心A频率12例(23.1%)，小叶间隔增厚频率24例(46.2%)；肺小叶Ⅳ级征象表现为胸膜下弧线影频率11例(19.2.%)，小叶密度增高频率9例(17.3%)，小叶中心A频率1例(1.9%)，小叶间隔增厚频率6例(11.5%)。结论：胸部HRCT肺小叶的主要征象能充分反映肺静脉压升高、肺瘀血、间质性肺水肿及肺泡性肺水肿等早期左心舒张功能不全的病理变化，对提示早期左心舒张功能不全具有重要的临床意义。
目的：探討胸部HRCT在診斷早期左心舒張功能不全的臨床價值。方法：收治早期左心舒張功能不全患者52例，進行胸部HRCT檢查，對肺小葉結構主要影像錶現齣現頻率進行分析，分析早期左心舒張功能不全與肺小葉結構變化的相關性。結果：肺小葉Ⅰ級徵象錶現為胸膜下弧線影頻率9例(17.3%)，小葉密度增高頻率2例(3.8%)，小葉中心 A 頻率16例(30.8%)，小葉間隔增厚頻率1例(1.9%)；肺小葉Ⅱ級徵象錶現為顯示胸膜下弧線影頻率10例(38.5%)，小葉密度增高頻率18例(34.6%)，小葉中心A頻率23例(44.2%)，小葉間隔增厚頻率21例(46.2%)；肺小葉Ⅲ級徵象錶現為胸膜下弧線影頻率12例(23.1%)，小葉密度增高頻率23例(44.2%)，小葉中心A頻率12例(23.1%)，小葉間隔增厚頻率24例(46.2%)；肺小葉Ⅳ級徵象錶現為胸膜下弧線影頻率11例(19.2.%)，小葉密度增高頻率9例(17.3%)，小葉中心A頻率1例(1.9%)，小葉間隔增厚頻率6例(11.5%)。結論：胸部HRCT肺小葉的主要徵象能充分反映肺靜脈壓升高、肺瘀血、間質性肺水腫及肺泡性肺水腫等早期左心舒張功能不全的病理變化，對提示早期左心舒張功能不全具有重要的臨床意義。
목적：탐토흉부HRCT재진단조기좌심서장공능불전적림상개치。방법：수치조기좌심서장공능불전환자52례，진행흉부HRCT검사，대폐소협결구주요영상표현출현빈솔진행분석，분석조기좌심서장공능불전여폐소협결구변화적상관성。결과：폐소협Ⅰ급정상표현위흉막하호선영빈솔9례(17.3%)，소협밀도증고빈솔2례(3.8%)，소협중심 A 빈솔16례(30.8%)，소협간격증후빈솔1례(1.9%)；폐소협Ⅱ급정상표현위현시흉막하호선영빈솔10례(38.5%)，소협밀도증고빈솔18례(34.6%)，소협중심A빈솔23례(44.2%)，소협간격증후빈솔21례(46.2%)；폐소협Ⅲ급정상표현위흉막하호선영빈솔12례(23.1%)，소협밀도증고빈솔23례(44.2%)，소협중심A빈솔12례(23.1%)，소협간격증후빈솔24례(46.2%)；폐소협Ⅳ급정상표현위흉막하호선영빈솔11례(19.2.%)，소협밀도증고빈솔9례(17.3%)，소협중심A빈솔1례(1.9%)，소협간격증후빈솔6례(11.5%)。결론：흉부HRCT폐소협적주요정상능충분반영폐정맥압승고、폐어혈、간질성폐수종급폐포성폐수종등조기좌심서장공능불전적병리변화，대제시조기좌심서장공능불전구유중요적림상의의。
Objective:To explore the value of application of chest HRCT in the diagnosis of the early left ventricular diastolic dysfunction.Methods:52 cases with early left ventricular diastolic dysfunction were selected.They underwent chest HRCT scan.We analyzed the frequency of occurrence of main manifestations of lung lobules structure,and the relevance between early left ventricular diastolic dysfunction with pulmonary lobule structure changes.Results:In the pulmonary lobule Ⅰ signs,9 cases(17.3%) were subpleural lines video frequency,2 cases(3.8%) were lobular density increased frequency,16 cases(30.8%) were lobular center A frequency,1 case(1.9%) was interlobular septal thickening frequency.In the pulmonary lobule Ⅱ signs,10 cases(38.5%) were subpleural lines video frequency,18 cases(34.6%) were lobular density increased frequency,23 cases(44.2%) were lobular center A frequency,21 cases(46.2%) were interlobular septal thickening frequency.In the pulmonary lobule Ⅲ signs, 12 cases(23.1% ) were subpleural lines video frequency,23 cases(44.2% ) were lobular density increased frequency,12 cases(23.1%) were lobular center A frequency,24 cases(46.2%) were interlobular septal thickening frequency.In the pulmonary lobule Ⅳ signs,11 cases(19.2.%) were subpleural lines video frequency,9 cases(44.2%) were lobular density increased frequency, 1 case(1.9%) was lobular center A frequency,6 cases(11.5%) were interlobular septal thickening frequency.Conclusion:The main findings of pulmonary lobules in chest HRCT can reflect the pathological changes of early left ventricular diastolic dysfunction, such as pulmonary venous pressure,pulmonary congestion,pulmonary interstitial edema and alveolar pulmonary edema and so on. It has important clinical significance in prompting the early left ventricular diastolic dysfunction.
