重症监护患者胸片的解释。病理解剖和x线检查结果的比较[作者简介]。

P E Peters, B Walther, V Brand, G Bürk, M Wendt
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引用次数: 0

摘要

将死亡24小时内的胸部x线照片与尸检结果进行比较。在1973/74年和1976/77年的150例未选择的尸检记录中,分别有50例和91例适合评估。自1973/74年以来,由于引进了强大的冷凝器放电设备和使用了高度强化的屏幕,放射照相技术已经发生了很大的变化。与负责重症监护病房的医生的日常讨论以及病理和放射检查结果的常规比较也被介绍。这些措施的成功反映在1976/77年期间对病例材料的诊断更加准确。肺栓塞病例的比较结果暴露了诊断放射学的局限性。
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[Interpretation of chest roentgenograms of intensive care patients. A comparison of pathoanatomical and roentgenographic findings (author's transl)].

Chest roentgenograms made within 24 hours of death were compared to the autopsy findings. Out of 150 unselected autopsy records of the years 1973/74 and 1976/77 50 and 91 cases respectively were suitable for evaluation. Since 1973/74 the radiographic technique has been considerably changed by the introduction of powerful condenser discharge equipment and the use of highly intensifying screens. Daily discussions with the physicians in charge of the intensive care unit and routine comparison of the pathological and radiological findings were also introduced. The success of these measures is reflected in the greater diagnostic accuracy in respect of the case material for the 1976/77 period. Comparison of the findings in cases of pulmonary embolism exposed the limitation of diagnostic radiology.

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