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目的探讨X线及CT检查在矽肺中的临床诊断特点,总结临床应用经验。方法选择行CT及X线检查的矽肺患者共30例纳入研究,回顾性分析患者的X线及CT检查特点,并进行总结分析。结果30例矽肺患者X线及CT结果显示,存在弥漫散在性分布的小结节影23例,占76.67%;存在结节融合者11例,占36.67%;合并肺结核者4例,占13.33%;合并气胸者1例,占3.33%;合并肺气肿者11例,占36.67%;合并胸膜肥厚者5例,占16.67%;合并肿瘤者2例,占6.67%。结论临床在矽肺诊断时,部分患者症状不典型诊断困难时,可结合患者病史、X线及CT检查,综合分析并做作出正确诊断。
Objective To investigate the clinical features of X-ray and CT in silicosis and summarize the clinical experience. Methods Thirty patients with silicosis who underwent CT and X-ray examination were included in the study. The characteristics of X-ray and CT examination were retrospectively analyzed and analyzed. Results X-ray and CT findings of 30 cases of silicosis showed that there were 23 small nodules with diffuse scattered distribution, accounting for 76.67%. There were 11 cases with nodules fusion (36.67%), and 4 cases with pulmonary tuberculosis (13.33% ; 1 case of pneumothorax, accounting for 3.33%; 11 cases of pulmonary emphysema, accounting for 36.67%; 5 cases of pleural thickening, accounting for 16.67%; 2 cases of combined tumor, accounting for 6.67%. Conclusion In the clinical diagnosis of silicosis, some patients with atypical symptoms of difficult diagnosis, combined with the patient’s history, X-ray and CT examination, a comprehensive analysis and make the correct diagnosis.