Thorax accumulate the intersection of disease and laboratory of liquid check _ test check

Thorax accumulate the intersection of disease and laboratory of liquid check _ test, check
(1) X-ray examination of chest
The X-ray examination of chest is difficult to find when relatively a few thoraxes accumulate the liquid. Accumulate the intersection of liquid and quantity, reach 0.3-0.5L as thorax, chest X-ray examination reveal rib diaphragm corner dull, increase thick to distinguish with pleura while being difficult sometimes, need side slope, vary body posture, distinguish slowly until X-ray perspect often. Until thorax accumulate liquid, increase, rib the intersection of diaphragm and corner disappear, reveal concave to face upward, outside high the intersection of inside and low arc accumulate the liquid shadow, it is flat while lying in the location, accumulate the liquid and scatter, make the wild bright degree of whole lung reduce. A large number of thorax, accumulate liquid, suffer from the intersection of side and chest, present dense shadow entirely, and trachea push to, good for side. Limitation parcel accumulate liquid, can take place on the intersection of thorax and position any, have, accumulate liquid among the leaf while being common, take the form of shuttleless loom, does not change and change with the body posture, the edge is smooth and energetic; The lung reveals diaphragm skin is obviously raised or obviously widened between bubble shadow of fundus of stomach and lung bottom flange shadow on one side while accumulating the liquid at bottom. Have levels of liquid to accumulate the liquid at the time of liquid pneumothorax. Accumulate liquid quantity to judge in chest X-ray slice and thorax: Thorax accumulate liquid the following call a few thoraxes accumulate liquid among the rib before 4; Between the rib is that the medium-sized quantity thorax accumulate the liquid before the rib and the second before the 4th; Accumulate liquid lie in front of the second more than rib accumulate the liquid for a large number of thoraxes.
The chest CT accumulates the liquid to diagnose to the thorax that there are their special advantages, are suitable for: A slice of a few thoraxes different to reveal accumulate the liquid in chest X-ray; Observe, can accumulate liquid and lung essence pathological change, distinguish limiting parcelling nature through the intersection of focus and density; Reveal thorax accumulate liquid can understand lung organize, press and the intersection of lung and essence store pathological change in at the same time; Can reveal mediastinal, trachea and lymph node situation.
(2) Ultrasonic inspection
Thorax accumulate liquid can adopt A type or B type ultrasonic appearance check, adopt B -type supersound diagnose appearance more at present. Accumulate liquid, present dark district or have the intersection of echo and district in the intersection of Ultrasonography B and picture, distinguish while being easy, accumulate very few liquid, Ultrasonography B picture can't reveal make, discern relatively difficult, inferior to chest to be CT sensitive well. Ultrasonography B check, have thorax accumulate liquid and accumulate the intersection of liquid and quantity, position, localization that thorax punctures, have important value confirming. Ultrasonography B lead lower thorax puncture, can use limitation for thorax accumulate liquid and adhesion separate the thorax accumulate liquid.
(3) The thorax punctures skill and chest liquid inspection
The thorax can both use for diagnosing and be regarded as a treatment means while puncturing the skill, take the intersection of thorax and liquid out in order to relieve thorax, accumulate whom liquid cause, have difficulty in breathing and accelerate the intersection of chest and absorption of liquid,etc.. Thorax puncture take liquid out make, check to accumulate the intersection of liquid and property and cause of disease, diagnose essential clearly while being following.
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