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本文通过对40位中老年人及85例慢性支气管炎继发阻塞性肺气肿患者的右膈最大活动度的测量,经肺功能检查验证,表明膈肌活动幅度对X线诊断慢性阻塞性肺气肿有一定的实用价值。膈肌活动度>5cm者,75%以上的人可定为无肺气肿;膈肌活动度在2—5cm者,轻中度肺气肿占90%以上;膈肌活动度<2cm者多属重或少数极重度肺气肿。慢性阻塞性肺气肿发病率高,大多数都继发于慢性支气管炎。此病的诊断尚无理想的方法,X线诊断也比较混乱。我们在40例中老年无肺气肿人和85例慢性阻塞性肺气肿患者的最大呼、吸气相胸片上测量了右膈上、下活动的幅度(以下简称右膈活动度),结合肺功能检查对照,试图对慢性阻塞性肺气肿的X线诊断作一探讨。
In this paper, 40 elderly and 85 patients with chronic bronchitis secondary obstructive emphysema in patients with maximum diaphragm activity measured by pulmonary function tests showed that the amplitude of diaphragmatic activity on the X-ray diagnosis of chronic obstructive pulmonary disease Swollen has some practical value. Diaphragm activity> 5cm, 75% of people can be defined as emphysema; diaphragm activity in 2-5cm, mild to moderate emphysema accounted for more than 90%; diaphragm activity <2cm were mostly or A very few severe emphysema. The incidence of chronic obstructive pulmonary emphysema, most are secondary to chronic bronchitis. The diagnosis of the disease there is no ideal way, X-ray diagnosis is also more confusing. We measured the amplitude of the right and left diaphragm activities (hereinafter referred to as right-diaphragmatic activity) on the most common breath and chest X-ray of 40 elderly patients without emphysema and 85 patients with chronic obstructive emphysema. Lung function test control, trying to make an examination of the X-ray diagnosis of chronic obstructive pulmonary emphysema.