摘要
目的 探讨小儿气管支气管异物的CT表现及诊断价值。方法 对 16例经纤维支气管镜证实的小儿气管支气管异物进行CT扫描。结果 直接征象 :CT直接显示异物及其所在部位的 13例 ,占 81 3 % ,局限性支气管阻塞而无明确异物显示的 3例 ,占 18 7%。间接征象 :阻塞性肺气肿 11例 ,纵隔双边影 5例 ,阻塞性肺不张 3例。合并症表现 :阻塞性肺炎 6例 ,纵隔气肿 1例 ,气胸 1例 ,渗出性胸膜炎 2例。结论 CT对气管支气管异物的显示率高 ,定位准 ,并可显示各种合并症的CT表现 。
Objective To probe into CT manifestation and it's diagnostic value for foreign body in trachea or bronchus of children.Methods CT scan was done in 16 children with foreign body in trachea or bronchus confirmed by fiberbronchoscope.Results Foreign body was displayed directly in 13 children,counted up 81 3%,local bronchal obstruction in 3 children,counted up 18 7%,obstructive pulmonary emphysema in 11 children,mediastinal double-side image in 5 children,obstructive atelectasis in 3 children,obstructive pneumonia in 6 children,mediastinal emphysema in 1 child,pneumatothorax in 1 child and exudative pleurisy in 2 children.Conclusions CT displays well the foreign bodies and can locate accurately the foreign body in the trachea or bronchus and also presents the changes caused by their various complications. This method has very important value for diagnosis and differentiation of foreign bodies in trachea or bronchus in children.
出处
《中国医师杂志》
CAS
2003年第1期62-63,共2页
Journal of Chinese Physician
关键词
支气管异物
CT
诊断
气管异物
儿童
Trachea
Bronchus
Foreign body
Tomography
X-ray computer
