论文部分内容阅读
矽肺肺门淋巴结蛋壳样钙化在胸片上有特殊征象,对X线诊断颇有参考价值,国际劳工组织(ILO、U/C 1971)制订的尘肺X线分类就列为诊断指征,代号es。[1]近年来国内已有不少调查报告,并对矽结节钙化有所描述。[2、3]尽管各地报导矽肺钙化率(包括肺门蛋壳样钙化和矽肺结节钙化胸膜钙化,未见报导)高低不一,但问题存在是比较普遍的。矽肺钙化的机理和转归如何?对于诊断、治疗和效果鉴定有无参考价值?这是大家关心的问题。为此我们先后在矽肺发病较多的三个矿山进行专题回顾性调查,系统复习了全部经确诊的矽肺1133例,胸片16995份,共发现有肺门淋巴结和矽结节钙化者117例,钙化率10.6%。综观全部资料,分为流行病学和X线表现形态以及病理所见部分进行分析报导。
Silicosis hilar lymph node egg-like calcification in the chest has a special sign on the X-ray diagnosis of considerable reference value, the International Labor Organization (ILO, U / C 1971) developed pneumoconiosis X-ray classification as a diagnostic indicator, code es . [1] In recent years, there are many domestic survey reports, and described the calcification of silicon nodules. 2,3 Although the prevalence of silicosis (including hilar-like calcification of calcification of the hilum and calcified pleural calcification of silicotic nodules has not been reported) varies widely around the world, the problem is prevalent. The mechanism and outcome of silicosis calcification? For the diagnosis, treatment and effectiveness of identification with or without reference value? This is our concern. To this end, we conducted a special retrospective survey in three mines with more silicosis. We systematically reviewed 1133 cases of all confirmed silicosis and 16995 cases of chest radiographs. A total of 117 cases of hilar lymph nodes and silicosis were found, The rate of calcification 10.6%. Looking at all the data, divided into epidemiological and X-ray findings and pathological findings part of the analysis report.