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目的:探讨胸透、胸片对自发性气胸患者气胸量判断的差异。方法:45例自发性气胸患者24 h内同时行胸透、胸片检查,期间未行胸穿排气。结果:胸透诊断的气胸量(53±12)%,胸片诊断的气胸量(35±8)%,P<0.01;42例闭合性气胸胸透诊断的气胸量比胸片高10%以上,3例交通性气胸胸透、胸片在气胸量判断差异在5%以下。结论:由于胸透时常规无嘱患者深吸气,对气胸量的判断常偏多,特别是在闭合性气胸时尤为明显。
Objective: To investigate the differences between chest and chest radiographs in determining the amount of pneumothorax in patients with spontaneous pneumothorax. Methods: 45 cases of spontaneous pneumothorax patients within 24 h at the same time chest X-ray, chest X-ray examination, during which no chest wear exhaust. Results: The amount of pneumothorax (53 ± 12)%, the amount of pneumothorax diagnosed by chest radiography (35 ± 8)%, P <0.01; the volume of pneumothorax in 42 cases of closed pneumothorax was 10% , 3 cases of communicating pneumothorax, chest radiograph in the judgment of pneumothorax differences in less than 5%. CONCLUSIONS: As a result of routine deep pleural inspiration when deep inspiration, judgment of the amount of pneumothorax often more, especially in the closed pneumothorax is particularly evident.