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頁籤選單縮合
題名 | Exogenous Lipoid Pneumonia: Serial Chest Plain Roentgenography and High-Resolution Computerized Tomography Findings=外因性類脂質肺炎:連續性胸部X光及高解析度電腦斷層之發現 |
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作者 | 蔣宜璋; 林永哲; 劉金昌; 邱肇基; 蔡米山; 高英隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 19:12 2003.12[民92.12] |
頁次 | 頁593-598 |
分類號 | 415.463 |
關鍵詞 | 類脂質肺炎; 吸入油脂; 電腦斷層; Lipoid pneumonia; Oil aspiration; Computerized tomography; |
語文 | 英文(English) |
中文摘要 | 本文之目的為說明外因性類脂質肺炎在初期和後續之胸部 X 光及高解析度電腦斷層之獨特影像發現。從 1988 年 5 月至 2002 年 7 月,共收集因吸入柴油、動物油或植物油導致吸入性肺炎之患者,於入院初期胸部 X 光 (6 位患者)、電腦斷層 (6 位患者)及追檢查,分別由兩位胸腔放射線科醫師及兩位外科醫師針對肺實質異常之形態和分佈作分析。結果顯示,類脂質肺炎最常發生之肺葉為右中肺葉,再者為右下肺葉,左下肺葉及左小舌肺葉。追踪胸部 X 光攝影(6 位患者)發現只有 1 位病患肺實質病灶完全消失,而其餘 5 位患者均為部份消失。類脂質肺炎在胸部 X 光檢查是屬於非典型表現,並常發生在兩側下肺葉及右中肺葉。在高解析度電腦斷層下,病灶最常表現為肺堅質變化區域,毛玻璃變化參雜舖磚狀形態及邊緣不規則之結節。 |
英文摘要 | Between May 1988 and July 2002, six patients with pneumonia due to diesel, animal, or vegetable oil aspiration were admitted to Kaohsiung Medical University Hospital. The purpose of this study was to demonstrate distinctive radiographic findings of oil-induced lipoid pneumonitis on initial serial chest roentgenograms and high-resolution computerized tomography (CT) scans. Initial chest roentgenograms (n = 6), CT scans (n = 6), and roentgenography and CT follow-up studies were analyzed retrospectively by two chest radiologists and two surgeons, focusing on the pattern and distribution of parenchymal abnormalities. The most common location was the right middle lobe, followed by the right lower lobe, the left lower lobe, and the lingular lobe. Follow-up chest roentgenograms (n = 6) showed complete disappearance of the parenchymal lesions in only one patient and partial decrease in the extent of lesions in five patients. Lipoid pneumonia presents non-specific findings on chest roentgenography. It is commonly located in both lower and the right middle lobes. On high-resolution CT, the lesions appear most commonly as areas of consolidation, ground-glass attenuation mixed with paving pattern, and poorly defined nodules. |
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