论文部分内容阅读
1963年矽肺诊断标准颁布以来,不少单位在使用标准中,常遇到可疑矽肺(0～Ⅰ)和一期矽肺(Ⅰ)之间,亦即诊断和不诊断矽肺之间的界限难于掌握,尤其对于接触混合性矽尘的病例更感困难。本文力图通过接触混合性矽尘的可疑矽肺尸检材料来寻找X线诊断与病理所见之间的差距。对可疑矽肺与一期矽肺的病理分期提出看法,希望能对矽肺诊断工作有些帮助。【病例选择及分析方法】几年来,我们共积累临床为可疑矽肺,尸检后诊断为尘肺的病例44例。这些病例的X线表现可分为以下几种类型:(1)以网织纹理为主、点影模糊、点网分辨不清,肺门及肺纹理有一定改变。常年咳嗽、痰不多,无其它临床表现,多死于肺外疾病;(2)呈浸润型肺结核影象,点、片及条索状影均在结核的好发部位,有时尚可见到与肺门有索条
Since the promulgation of the diagnostic criteria for silicosis in 1963, many units often encounter the problem of suspicious silicosis (0 ~ Ⅰ) and stage I silicosis (Ⅰ), that is, the boundary between diagnosis and non-diagnosis of silicosis is difficult to grasp. Especially for the case of mixed silica dust more difficult. This article seeks to find out the gap between X-ray diagnosis and pathology through suspicious silicosis autopsy materials exposed to mixed silica. On the suspicion of silicosis and stage silicosis pathological staging put forward some hope in the diagnosis of silicosis may be some help. [Case Selection and Analysis Methods] In recent years, we have accumulated a total of 44 cases of suspected silicosis, autopsy diagnosis of pneumoconiosis. The X-ray findings of these cases can be divided into the following types: (1) the main texture of the mesh, fuzzy vocal, point network is not clear, hilar and lung changes have some texture. Perennial cough, phlegm, and no other clinical manifestations, and more died of extrapulmonary disease; (2) was infiltrative pulmonary tuberculosis images, spots, films and cords of the film are good spots in tuberculosis, there are stylish and can be seen with Hilar has a rope