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Pediatric airway foreign body through the X -ray d

 
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PostWysłany: Pią 0:00, 11 Mar 2011    Temat postu: Pediatric airway foreign body through the X -ray d

Pediatric airway foreign body through the X-ray diagnosis of X-Analysis Misdiagnosis


Building cross-bowel movement changes, diagnosis of bronchial infection solid 3 song of the limitations of bronchial foreign body Yan. Sri Lanka in the second half choke differences, x-ray findings of right pulmonary emphysema (), across the left Mu Gui 5L, diagnosis, different song right bronchial Sri Lanka, the correct prompt treatment ashamed. 2, significant clinical manifestations of foreign body foreign body. The foreign body can be moved with the air and on the F, triggering paroxysmal irritating cough,[link widoczny dla zalogowanych], the typical person in the neck, chest and rattling sound heard, may make an appointment Guchang Sri Lanka. Blocking of such foreign bodies often incomplete obstruction, foreign body X-ray negative or less than minor. Can only be found in the chest through both lungs increased brightness 【Figure 2), visible under fluoroscopy through the respiratory lung field intensity variation of two-phase differences small. Diaphragmatic motion decreases. Mediastinal no swing. Sometimes an increase in investment performance for the double markings, fuzzy, foreign body may be moved up and down the heavy damage on the wall of the airway,[link widoczny dla zalogowanych], tracheal bronchial secretions increase, due to poor drainage. In particular,[link widoczny dla zalogowanych], careful observation at this time is both important and easy to miss the typical X-change, that Ta gas abnormal heart shadow fold larger. Expiratory smaller abnormal heart shadow: When part of the foreign body moved under the suction side of the bronchial phase, then the performance of Ta gas valve bronchial obstruction in the 8 down, 7 were false ru diagnosis, and the lessons of which only 3 cases of profound made with chest X-ray and diagnostic perspective, but the attention only on the more common x-ray changes of bronchial foreign body on the instructions of Radiology, the low permeability of years down the physicians understanding of foreign body is not enough to master the correct way to check in at the same time, the The signs should be installed x raise awareness and attention. 3. Subglottic Subglottic foreign body foreign body in the early symptoms of wheezing, wheezing, coughing, hoarseness, transient cyanosis. At the same hysteria often not obvious because of the cough reflex was misdiagnosed J. Subglottic foreign bodies usually remain in large, lateral neck films due to air contrast better, whether positive or negative for foreign bodies can often develop j. Smooth subglottic foreign body (3 patients in this group were watermelon seeds), in the early damage to surrounding tissue due to less impact of lung ventilation has not, then the x ray chest radiography or perspective can be expressed as normal. Neck radiograph without additional group of Ru can be induced saying. 2 fell in this group shall be guilty of such cases of missed diagnosis. So for a clear history of foreign body aspiration, pulmonary Xin chest x-ray diagnosis, and no positive cases detected, also taking into account the possibility of silent subglottic foreign bodies. Lateral neck films were taken not only show subglottic foreign body, but also shows cervical trachea and glottis, supraglottic foreign body, is an easy and important method of diagnosis and differential diagnosis _3: 4. Limitations of foreign body and another 3 cases of bronchitis in this group as the x-ray diagnosis of bronchial foreign body, but has failed to mirror the detection of tracheobronchial foreign bodies. Only found in the corresponding side of the bronchial mucosal edema, and more discharge. Combined with its clear history of foreign body aspiration and x-ray findings did (Figure 3), the dark A foreign body may be considered later. Mark deputy foreign bodies in children with strong dark discharge,[link widoczny dla zalogowanych], but the film revolves wall damage. Congestion and edema as well as infection, caused by bronchial local ventilation barriers blocking the formation of valve wins, foreign body due to the limitations of bronchitis. In summary,[link widoczny dla zalogowanych], on the history of a foreign body aspiration A young child bearing, a radiologist with the clinical diagnosis in the process, try to get a good photo call Yao, inspiratory chest. Supplemented perspective. The trachea, bronchus basically confirm the diagnosis. In the absence of positive findings should also increase lateral neck film camera, except for cervical trachea, subglottic foreign bodies. X ray diagnosis with dynamic and static performance, according to bronchi, trachea and subglottic the order step by step diagnosis and differential diagnosis. ~ Ljd, JL airway foreign bodies in the diagnostic accuracy can be improved.


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