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氣管支擴張症에 있어서의 肺動脈 分包像에 대한 放射學的考察

Roentgenographic Manifestation of the Abnormal Distribution of the Pulmonary Arteries in Bronchiectasis

최신의학 1967년 10권 11호 p.111 ~ 115
최근식,
소속 상세정보
최근식 (  ) - 전남대학교 의과대학 방사선학교실

Abstract


Bronchography had been performed for 21 among 62 cases, in which bronchiectasis was suspected by simple PA chest films during the period of January 1, 1965 to August 31, 1966.
Definite diagnosis of bronchiectasis could be confirmed in 20 out of 21 cases, while the rest of 1 case was proved to be congenital developmental anomaly. 2 out of 20 cases were the ones without subjective symptoms and objective signs suggesting presence of the lesion.
It sometimes is difficult to detect bronchiectasis associated with lobar [atelectasis in the lower lobes in PA chest films, because the diseased lobes are displaced medially and posteriorly, are frequently overshadowed by the mediastinum, particularly the heart, and appear to be normal. It is to be emphasized, however,. that the presence of such lesions could be diagnosed before doing special. studies, such as bronchography or tomography, by analysing the secondary roentgehographic manifestations in PA chest films, such as retraction or displacement toward the affected side of the Mum, mediastinum, particularly the heart, and diaphragm, hyperlucency of the remaining normal lung on the affected side due to compensatory emphysema, and abnormal distribution of the pulmonary arteries.

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