luchevaya diagnostika zabolevaniy legkix

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zagolovok slayda otsutstvuet buxarskiy gosudarstvenniy meditsinskiy institut kafedra onkologii i luchevoy diagnostiki predmet: luchevaya diagnostika lektsiya №3 tema: luchevaya diagnostika zabolevaniy legkix dlya studentov lechebnogo, mediko-pedagogicheskogo i mediko- profilakticheskogo fakultetov buxara - 2019 luchevaya diagnostika zabolevaniy legkix (lektsiya №3) metodi diagnostiki rentgenografiya flyuorografiya rentgenoskopiya obichnaya tomografiya kt uzi,mrt, stsintigrafiya, kt- angiografiya, mra, bronxografiya normalnaya r- anatomiya legkix osnovnie r-sindromi totalnoe zatemnenie ogranichennoe zatemnenie okruglaya ten koltsevidnaya ten ochagovaya disseminatsiya sindrom prosvetlenie izmenenie korney totalnoe ili subtotalnoe zatemnenie atelektaz- odnorodnoe zatemnenie, smeshenie organov sredosteniya v storonu zatemneniya tsirroz- neodnorodnoe zatemnenie, smeshenie organov sredosteniya v storonu porajenie vipot v plevralnuyu polost- gomogennoe zatemnenie, smeshenie ortanov sredosteniya v zdorovuyu storonu subtotalnaya pnevmoniya- simptom «vozdushnoy bronxografii», organi sredosteniya ne smesheni totalniy plevralniy vipot sleva so smesheniem levogo kupola diafragmi vniz i organov sredosteniya vpravo massivniy plevralniy vipot, obuslovlenniy plevralnimi metastazami raka grudi, smeshayushiy serdtse vpravo massivniy plevralniy vipot, obuslovlenniy pravojeludochkovoy nedostatochnostyu pri mitralnom stenoze. …

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ie m.b. smesheno v storonu porajeniya pnevmoskleroz- neodnorodnoe zatemnenie, dolya umenshena v razmere, organi sredosteniya smesheni v storonu porajeniya opuxolevaya infiltratsiya- neodnorodnoe zatemnenie, nerovnost konturov, uvelichenie l/u korney legkix, organi sredosteniya ne smesheni diafragmalnaya grija- neodnorodnoe zatemnenie, neotdelimoe ot teni diafragmi, rezko otgranicheno ot legochnoy tkani (dlya dif.diagnostiki- priem barievoy vzvesi) pechenochnaya grija okruglaya ten opuxoli (zlokachestvennie, dobrokachestvennie; pervichnie, vtorichnie) pnevmonicheskiy, tuberkulezniy, eozinofilniy infiltrat tuberkulema kisti zlokachestvennie opuxoli perifericheskiy rak vozrast- molodoy lokalizatsiya- chashe verxnie doli (3 segment) struktura teni chashe neodnorodnaya (nekroz, formirovanie polostey) intensivnost teni srednyaya ili visokaya kontur m.b. rovniy, pri bolshix razmerax- bugristiy simptom «luchistosti» po konturu opuxoli (limfangit) uvelichenie l/u korney pri malix razmerax- otsutstvie kliniki obichnaya tomografiya, kt, mrt – dlya utochneniya diagnoza perifericheskiy rak legkogo odinochniy metastaz vozrast- posle 40 let gomogennaya ten maloy ili sredney intensivnosti chetkiy, rovniy kontur bistriy rost pri mnojestvennix metastazax- simptom «monetnix stolbikov» odinochniy metastaz mnojestvennie metastazi tuberkulema …

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m «plavayushego parusa»(smorshennaya obolochka) adenoma bronxa s atelektazom sredney doli sprava koltsevidnaya ten vrojdennaya kista- tonkaya koltsevidnaya ten na fone neizmenennoy legochnoy tkani polost abstsessa- vnutri polosti opredelyaetsya gorizontalniy uroven jidkosti, stenki polosti tolstie, po narujnomu konturu- perifokalnaya infiltratsiya tuberkuleznaya kaverna- polost okrugloy ili nepravilnoy formi, razmerami 2- 4 sm, vnutrenniy kontur polosti nerovniy, narujniy- gladkiy, okrujayushaya legochnaya tkan s ochagami otseva, simptom «meniska»- nebolshoy uroven jidkosti na dne polosti raspadayushiysya perifericheskiy rak- vnutrenniy kontur festonchatiy ili bugristiy, narujniy kontur nerovniy, bugristiy, simptom «luchistosti», uvelicheni l/u korney oporojnivshayasya exinokokkovaya kista- polost s urovnem jidkosti, simptom «plavayushego parusa», v klinike- videlenie obilnoy mokroti s kusochkami obolochki abstsess nijney doli pravogo legkogo s urovnem jidkosti. sliyanie pnevmonicheskix ochagov po vsem legochnim polyam sprava i sleva oporojnivshayasya exinokokkovaya kista- simptom «plavayushego parusa» mnojestvennie koltsevidnie teni polikistoz legkix: tonkostennie polosti, razmeri polostey odinakovie, razmer polostey bolee 2 sm kavernozniy tuberkulez: tonkostennie polosti razlichnix razmerov …

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kalizatsii, konturi ochagov chetkie, struktura odnorodnaya tuberkulema: odno- ili dvustoronnie ochagi verxushechnoy ili podklyuchichnoy lokalizatsii , konturi ochagov chetkie, struktura neodnorodnaya s vklyucheniyami kaltsinatov ili melkix prosvetleniy ochagovaya pnevmoniya: ostraya klinika, bistraya polojitelnaya dinamika, ochagi m.b. sgruppirovani ili rasseyani na bolshom rasstoyanii perifericheskiy rak ochagoviy tuberkulez, faza infiltratsii, raspada, obsemeneniya ochagoviy tuberkulez, faza obizvestvleniya ochagovaya pnevmoniya disseminatsiya ochagov miliarnie ochagi (1- 2 mm): - melkooochagovaya pnevmoniya - gematogenno-disseminirovanniy tuberkulez (miliarniy) - pnevmokonioz melkoochagovie teni (3- 4 mm): - xronicheskiy gematogenno-disseminirovanniy tuberkulez - melkoochagovaya pnevmoniya - uzelkoviy silikoz sredneochagovie teni (5- 8 mm): - ochagovaya pnevmoniya - mnojestvennie metastazi krupnoochagovie teni (9- 12 mm): - ochagovaya pnevmoniya - otek legkogo - mnojestvennie metastazi miliarnie ochagi melkoochagovaya pnevmoniya: ostraya klinika, sklonnost ochagov k sliyaniyu miliarniy tuberkulez: ostraya klinika, sliyanie ochagov otsutstvuet pnevmokonioz: klinika stertaya, v anamneze- professionalnaya vrednost miliarniy tuberkulez disseminirovanniy tuberkulez miliarniy tuberkulez miliarnie metastazi alveolyarniy proteinoz melkoochagovie teni xronicheskiy gematogenno-disseminirovanniy …

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toksicheskix veshestv i gazov, aspiratsiya jidkosti v legkie, poroki serdtsa s levojeludochkovoy nedostatochnostyu mnojestvennie metastazi: konturi ochagov rezkie krupnoochagovaya pnevmoniya alveolyarniy otek legkix poliorgannaya nedostatochnost. diffuzniy alveolyarniy otek legkix. dvustoronniy plevralniy vipot sindrom prosvetleniya legochnogo risunka pnevmotoraks- otsutstvie legochnogo risunka, na fone prosvetleniya zameten kray spavshegosya legkogo, smeshenie organov sredosteniya v zdorovuyu storonu pri virajennom protsesse emfizema legkix- pri diffuznom porajenii- legochnie polya uvelicheni, diafragma uploshena, raspolojena nizko, malopodvijna + priznaki xronicheskogo protsessa emfizema legkix kt kartina emfizemi legkix emfizema legkix idiopaticheskiy legochniy fibroz, legochnaya gipertenziya, legochnoe serdtse (simptom «medovix sot») izmenenie kornya odnostoronnee: - tuberkulezniy bronxoadenit - pervichnoe ili vtorichnoe opuxolevoe porajenie kornya dvustoronnee: - narushenie funktsii serdechno-sosudistoy sistemi - xronicheskiy gematogenno-disseminirovanniy tuberkulez -pnevmokonioz -virusnie adenopatii, sistemnie porajeniya l/u, metastazi zlokachestvennix opuxoley v l/u tuberkulez vnutrigrudnix l/u infiltrativnaya forma- koren rasshiren, deformirovan, ochertaniya ego nechetkie, intensivnost teni kornya povishena opuxolevidnaya forma- virajennaya giperplaziya l/u, narujniy kontur teni kornya chetkiy, …

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zagolovok slayda otsutstvuet buxarskiy gosudarstvenniy meditsinskiy institut kafedra onkologii i luchevoy diagnostiki predmet: luchevaya diagnostika lektsiya №3 tema: luchevaya diagnostika zabolevaniy legkix dlya studentov lechebnogo, mediko-pedagogicheskogo i mediko- profilakticheskogo fakultetov buxara - 2019 luchevaya diagnostika zabolevaniy legkix (lektsiya №3) metodi diagnostiki rentgenografiya flyuorografiya rentgenoskopiya obichnaya tomografiya kt uzi,mrt, stsintigrafiya, kt- angiografiya, mra, bronxografiya normalnaya r- anatomiya legkix osnovnie r-sindromi totalnoe zatemnenie ogranichennoe zatemnenie okruglaya ten koltsevidnaya ten ochagovaya disseminatsiya sindrom prosvetlenie izmenenie korney totalnoe ili subtotalnoe zatemnenie atelektaz- odnorodnoe zatemnenie, smeshenie organov...

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