论文部分内容阅读
有人说放射科医生做的是“捕风捉影”的工作。是的,我们每天与影像打交道,从“影子”中侦查病人的病根,为临床医生正确的治疗提供客观依据,达到为病人服务的目的。 下面就我遇到的一些疑难病例的诊断过程加以分析说明。所谓疑难病,我的理解是影像学表现复杂,或者病变的影像学表现不典型,在诊断中发生困难,难以立即做出正确诊断的病例。 是肺癌还是球形肺炎? 1992年冬,有一位女性患者,54岁,无明显临床症状,在某院做X线胸片查体发现右上肺类圆形结节,边界较清楚,诊为肿瘤入我院准备手术。术前做CT检查,发现右上肺后段近叶间裂处有一结节性病变,直径约2.0cm,边缘不光整,
Some people say that radiologists do the work of catching the wind and catching the eye. Yes, we deal with the image every day, from the “shadow” in the detection of the patient’s root cause for the clinicians to provide an objective basis for the correct treatment, to achieve the purpose of serving patients. Here are some difficult cases I encountered in the diagnosis process to be analyzed. The so-called difficult disease, my understanding is complicated imaging performance, or lesions of the atypical imaging findings in the diagnosis of difficulties, it is difficult to make the correct diagnosis of the case immediately. Is a lung cancer or spherical pneumonia? In the winter of 1992, there was a female patient, 54 years old, no obvious clinical symptoms. In a hospital to do X-ray examination showed that the right upper lung pulmonary nodules, border clear, diagnosed as tumor into Our hospital is ready for surgery. Before surgery to do CT examination and found that there is a nodular lesion near the right upper lobe of the posterior fissure, the diameter of about 2.0cm, the edge is not only the whole,