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作者分析了288例慢性支气管炎造影表现,将所见X綫征归纳为:管腔收缩、串珠状、分叉部斜形收缩、分叉部环形收缩,较大支气管扩张、较小支气管扩张、管壁不规则、管壁呈刺状或憇室状突起、分节状充盈及阻断10种表现。最多见的系管腔不规则,最少见者为串珠状表现。各支的X綫征出现率以上叶各支最多,第六支最少。作者还补充观察了10例呼吸相,5例切肺前后及6例不同时期的变化,发现支气管可随病变的发展改变其位置、大小、形态等,这对估计病变的病理基础具有重要意义。又在上述基础上,作者提出了慢性支气管炎的分期分型标准;将X綫征表现划为收缩及扩张两型,后者以扩张性表现为主,前者以收缩性表现为主。每一型又可分为功能性改变期,可复性损害期及不可复性损害期三期。最后,作者从分期中引伸出手术指征,阐明手术前应如何考虑截除肺部邻接支气管的改变,然后作出处理决定。
The author analyzed 288 cases of chronic bronchitis angiography, the findings were summarized as X-ray: lumens, beaded, oblique oblique bifurcation, bifurcation ring contraction, larger bronchiectasis, smaller bronchiectasis, Irregular wall, the wall was spine or 憇 chamber-like protrusions, sub-filled and blocked 10 kinds of performance. The most common Department of irregular lumen, the most common beaded performance. Each branch of the X-ray sign rate above the leaf branches up, the sixth branch at least. The authors also observed 10 cases of respiratory phase, 5 cases of before and after cutting the lung and 6 cases of different changes, found that the bronchial lesion can be changed with the development of its location, size, morphology, etc., which is important for the pathological basis of the estimated lesion. On the basis of the above, the author puts forward the staging classification standard of chronic bronchitis. The performance of X-ray is classified as contracting and expanding, the latter is mainly expansive, while the former is mainly contractive. Each type can be divided into functional changes, recoverable damage and irreversible damage period of three. Finally, the authors extend the surgical indication from the staging to clarify how the resection of the bronchial lung adjacent to the amputation should be considered before surgery, and then make the treatment decision.