hỘi chỨng x-quang phỔi
TRANSCRIPT
![Page 1: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/1.jpg)
CAÙC HOÄI CHÖÙNG X QUANG NGÖÏC
![Page 2: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/2.jpg)
Hoäi chöùng thaønh ngöïcHoäi chöùng maøng phoåiHoäi chöùng pheá nangHoäi chöùng moâ keûHoäi chöùng pheá quaûnHoäi chöùng maïch maùuHoäi chöùng nhu moâ phoåiHoäi chöùng trung thaát
HOÄI CHÖÙNG X QUANG NGÖÏC
![Page 3: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/3.jpg)
Hoäi chöùng thaønh ngöïc bao goàm caùc daáuhieäu X quang bieåu thò toån thöông thaønhngöïc.
HOÄI CHÖÙNG THAØNH NGÖÏC
![Page 4: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/4.jpg)
Ñaëc ñieåm
Toån thöông thaønh ngöïc laø caùc toån thöôngcuûa moâ meàm vaø xöông thaønh ngöïc.
*Hình môø
*Hình saùng
*Hình ñaäm ñoä voâi
HOÄI CHÖÙNG THAØNH NGÖÏC
![Page 5: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/5.jpg)
Phim thaúng
Khoâng laøm thay ñoåi caáu truùc maïch maùu phoåi
Caùc daïng: caùc bôø roõ hay caùc bôø ñeàu môø hoaëc
1 bôø môø vaø 1 bôø roõ.
HOÄI CHÖÙNG THAØNH NGÖÏC
![Page 6: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/6.jpg)
![Page 7: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/7.jpg)
Phim chuïp tieáp tuyeán
+Toån thöông thaønh ngöïc naèm phiaù ngoaïi vicuûa phoåi
+Neàn roäng toån thöông naèm phía ngoaïi bieân.
+Taïo vôùi thaønh ngöïc goùc nhoïn (goùc Bernou).
HOÄI CHÖÙNG THAØNH NGÖÏC
![Page 8: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/8.jpg)
goùc Bernou
![Page 9: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/9.jpg)
![Page 10: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/10.jpg)
![Page 11: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/11.jpg)
Hoäi chöùng maøng phoåi bao goàm caùc daáu hieäuX quang bieåu thò söï hieän dieän cuûa khí, dòchhoaëc moâ baát thöôøng trong khoang maøng phoåihoaëc ngay ôû maøng phoåi.
HOÄI CHÖÙNG MAØNG PHOÅI
![Page 12: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/12.jpg)
Tö theá ñöùng
Boùng môø ôû vuøng thaáp, xoaùboùng cuûa voøm hoaønh
Giôùi haïn treân cuûa boùng môøtraøn dòch laø ñöôøng congDamoiseau
Thay ñoåi khi thay ñoåi tö theá
Tö theá naèmMôø tröôøng phoåi moät hay hai beân
TRAØN DÒCH MAØNG PHOÅI TÖÏ DO
![Page 13: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/13.jpg)
Traøn dòch maøng phoåi töï do naèm nghieâng tia phoùng ngang
![Page 14: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/14.jpg)
Traøn dòch maøng phoåi töï do löôïng nhieàu
![Page 15: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/15.jpg)
Traøn dòch maøng phoåi tö theá naèm
![Page 16: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/16.jpg)
Dòch naèm giöõa bôø döôùi cuûa phoåi vaø voømhoaønh.
Ñaùy phoåi cao
Taêng khoaûng caùch ñaùy phoåi vaø tuùi hôi daïdaøy (>1.5 cm)
Voøm hoaønh (P) gaàn roán phoåi
Ñænh cao nhaát ñaùy phoåi leäch nhieàu rangoaøi
TRAØN DÒCH MAØNG PHOÅI THEÅ HOØANH
![Page 17: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/17.jpg)
![Page 18: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/18.jpg)
+Phim thaúng: gioáng toån thöông thaønh ngöïc.
+Phim chuïp tieáp tuyeán: naèm phía ngoaïi vi, taïo goùc nhoïn vôùi thaønh ngöïc.
Traøn dòch raõnh lieân thuøy
TRAØN DÒCH MAØNG PHOÅI KHU TRUÙ
![Page 19: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/19.jpg)
![Page 20: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/20.jpg)
![Page 21: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/21.jpg)
Laø söï hieän dieän baátthöôøng cuûa khítrong khoang maøngphoåi.
TRAØN KHÍ MAØNG PHOÅI
![Page 22: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/22.jpg)
Tö theá ñöùng
Vuøng traøn khí bieåu hieänbaèng vuøng saùng
Khoâng thaáy caùc boùng môømaïch maùu
Naèm ngoaøi ngoaøi laù taïng(bao quanh nhu moâphoåi xeïp)
TRAØN KHÍ MAØNG PHOÅI
![Page 23: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/23.jpg)
phoåi bò eùp
voøm hoaønh bò eùp deït
roäng khoaûng lieân söôøn
trung thaát vaø tim bò ñaåysang phía ñoái dieän.
TRAØN KHÍ MAØNG PHOÅI COÙ AÙP LÖÏC
![Page 24: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/24.jpg)
TRAØN KHÍ KEØM TRAØN DÒCH MAØNG
PHOÅI
hình möùc dòch-khí
![Page 25: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/25.jpg)
Daáu möùc ngang cuûaJoseù ReùmyÑo kích thöôùc cuûa möïc ngang treân haitheá chuïp thaúng vaø nghieâng.
Thay ñoåi -> toån thöông maøng phoåi.
Khoâng thay ñoåi->toån thöông phoåi.
PHAÂN BIEÄT TRAØN KHÍ KEØM TRAØN
DÒCH MAØNG PHOÅI VAØ AÙP-XE PHOÅI
![Page 26: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/26.jpg)
![Page 27: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/27.jpg)
U MAØNG PHOÅI
![Page 28: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/28.jpg)
U MAØNG PHOÅI
![Page 29: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/29.jpg)
ÑOÙNG VOÂI MAØNG PHOÅI
![Page 30: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/30.jpg)
Hoäi chöùng pheá nang baogoàm caùc daáu hieäu bieåu thòsöï hieän dieän cuûa dòch, teábaøo laønh hay aùc tính baátthöôøng trong pheá nang.
HOÄI CHÖÙNG PHEÁ NANG
![Page 31: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/31.jpg)
Bôø khoâng roõø
Coù tính hôïp löu
Coù tính heä thoáng
Hình aûnh khí pheá quaûn ñoà vaø khí pheá nang ñoà
Hình caùnh böôùm hay gaëp trong phuø phoåi caáp
Tieán trieån nhanh vaø sôùm
Ñöôøng kính noát pheá nang # 0.50.6 cm.
HOÄI CHÖÙNG PHEÁ NANG
![Page 32: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/32.jpg)
![Page 33: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/33.jpg)
![Page 34: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/34.jpg)
![Page 35: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/35.jpg)
![Page 36: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/36.jpg)
![Page 37: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/37.jpg)
![Page 38: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/38.jpg)
Hoäi chöùng moâ keû bao goàm caùc daáu hieäu Xquang bieåu thò hieän dieän cuûa dòch hay teá baøobaát thöôøng ôû khoaûng keû nhu moâ phoåi.
HOÄI CHÖÙNG MOÂ KEÛ
![Page 39: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/39.jpg)
Bôø toån thöông roõ
Khoâng coù tính hôïp löu vaø tính heä thoáng
Khoâng coù hình aûnh khí noäi pheá quaûn
Tieán trieån thöôøng chaäm.
HOÄI CHÖÙNG MOÂ KEÛ
![Page 40: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/40.jpg)
-Ñöôøng: Kerley A,B,C.
-Boùng môø
daïng kính môø (ground glass opacity)
daïng noát: noát nhoû ( 13mm), noát lôùn (>3mm)
daïng löôùi, daïng noát- löôùi, daïng toå ong
HOÄI CHÖÙNG MOÂ KEÛ
![Page 41: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/41.jpg)
![Page 42: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/42.jpg)
![Page 43: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/43.jpg)
![Page 44: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/44.jpg)
![Page 45: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/45.jpg)
![Page 46: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/46.jpg)
Hoäi chöùng pheá quaûn bao goàm caùc daáuhieäu X quang, bieåu thò toån thöông tröïc tieáphay giaùn tieáp cuûa pheá quaûn: daøy thaønh,daõn pheá quaûn hay taét ngheûn pheá quaûn.
HOÄI CHÖÙNG PHEÁ QUAÛN
![Page 47: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/47.jpg)
DAØY PHEÁ QUAÛN
![Page 48: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/48.jpg)
DAÕN PHEÁ QUAÛN
![Page 49: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/49.jpg)
Taéc pheá quaûn hoaøn toaøn (Xeïp phoåi)Daáu tröïc tieáp
Taêng ñaäm ñoä nhu moâ phoåi xeïp, giaûm theå tích vuøng phoåi xeïp, caùc maïch maùu vuøngnaøy bò kheùp laïi.
Daáu giaùn tieáp
Loài raõnh lieân thuøy veà vuøng xeïp (do phoåi xeïp keùo raõnh veà phía toån thöông)
Taêng thoâng khí buø tröø
Roán phoåi, trung thaát, voøm hoaønh bò keùo veà phía toån thöông, Khoaûng lieân söôøn bòheïp.
![Page 50: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/50.jpg)
![Page 51: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/51.jpg)
Taéc pheá quaûn khoâng hoaøn toaønDaáu tröïc tieáp
Taêng theå tích vuøng beänh lyù keøm theo hình aûnh taêng saùng Daáu giaùn tieáp
Loài raõnh lieân thuøy veà phiaù laønh, leäch trung thaát veà beân laønh khi thôû ra; voømhoaønh thaáp, deït; roäng khoaûng lieân söôøn.
Caùc daáu hieäu naøy roõ hôn treân phim thì thôû ra.
![Page 52: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/52.jpg)
XEÏP PHOÅI DAÏNG ÑÖÔØNG
![Page 53: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/53.jpg)
XEÏP PHOÅI DAÏNG ÑÖÔØNG
![Page 54: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/54.jpg)
Hoäi chöùng maïch maùu bao goàm caùc daáuhieäu X quang bieåu thò caùc thay ñoåi khaåukính, soá löôïng cuõng nhö tình traïng maïchmaùu phoåi.
HOÄI CHÖÙNG MAÏCH MAÙU
![Page 55: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/55.jpg)
Qui luaät 1/3
Hieän töôïng taùi phaân boá
Phaân boá vaø taùi phaân boá tuaàn hoaøn phoåi
![Page 56: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/56.jpg)
![Page 57: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/57.jpg)
Daáu hieäu ‘oáng nhoøm’
![Page 58: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/58.jpg)
Taêng khaåu kính maïch maùu lan toûa
Taêng khaåu kính maïch maùu khu truù
Taêng khaåu kính maïch maùu trung taâm vaø giaûmkhaåu kính maïch maùu ngoaïi bieân
Giaûm khaåu kính maïch maùu khu truù hay lan toaû
Thay ñoåi khaåu kính maïch maùu phoåi
![Page 59: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/59.jpg)
![Page 60: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/60.jpg)
Hoäi chöùng nhu moâ bao goàm caùc daáu hieäuX quang bieåu thò caùc toån thöông coù nguoàngoác töø nhu moâ phoåi.
HOÄI CHÖÙNG NHU MOÂ PHOÅI
![Page 61: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/61.jpg)
Bao quanh toaøn boä bôûi phoåi
Neáu ôû ngoaïi vi phoåi seõ taïo vôùithaønh ngöïc goùc tuø
Neáu laø hình aûnh quaù saùng lan toaûhay khu truù thöôøng keøm theo thayñoåi soá löôïng hoaëc khaåu kính maïchmaùu .
HOÄI CHÖÙNG NHU MOÂ PHOÅI
![Page 62: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/62.jpg)
![Page 63: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/63.jpg)
Boùng môø troøn ñôn ñoäc
Hình nhieàu boùng môø
Hình hang
Hình boùng saùng
Taêng saùng lan toûa hay khu truù
Ñoùng voâi
HOÄI CHÖÙNG NHU MOÂ PHOÅI
![Page 64: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/64.jpg)
![Page 65: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/65.jpg)
![Page 66: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/66.jpg)
![Page 67: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/67.jpg)
![Page 68: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/68.jpg)
Hoäi chöùng trung thaát bao goàm caùc daáu hieäuX quang bieåu hieän söï hieän dieän cuûa khí, dòchhoaëc caùc caáu truùc baát thöôøng ôû trung thaát.
HOÄI CHÖÙNG TRUNG THAÁT
![Page 69: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/69.jpg)
Xaùc ñònh toån thöôngtrung thaát caàn tìm caùcdaáu hieäu ñeø ñaåy caùcñöôøng trung thaát, caùccô quan trung thaát,hoaëc söï bieán daïng caùcñöôøng hay bôø trungthaát
HOÄI CHÖÙNG TRUNG THAÁT
![Page 70: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/70.jpg)
Sô ñoà caùc ñöôøng trung thaát1,2 : Ñöôøng trung thaát sauvaø tröôùc3: Ñöôøng caïnh tónh maïch ñôn(Azygos)4,5 : Tónh maïch caùnh tay ñaàu6: Ñöôøng caïnh ñoäng maïch chuûxuoáng7: Ñöôøng caïnh coät soáng8: Ñöôøng caïnh thöïc quaûn9: Ñöôøng tónh maïch chuû döôùi
![Page 71: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/71.jpg)
Phaân chia trung thaát
![Page 72: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/72.jpg)
Giôùi haïn ngoaøi roõ
Giôùi haïn trong khoâng roõ
Taïo vôùi ñöôøng tieáp tuyeánngoaïi vi phoåi goùc nhoïn.
Ñaëc ñieåm toån thöông trung thaát
![Page 73: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/73.jpg)
Daáu hieäu boùng môø (Silhouette)
![Page 74: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/74.jpg)
![Page 75: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/75.jpg)
Daáu hieäu coå-ngöïc
![Page 76: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/76.jpg)
![Page 77: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/77.jpg)
Daáu hieäu ngöïc -buïng
![Page 78: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/78.jpg)
Daáu hieäu ngöïc -buïng
![Page 79: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/79.jpg)
Daáu hieäu che phuû roán phoåi
![Page 80: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/80.jpg)
![Page 81: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/81.jpg)
Caùc khoái choùan choå trung thaát Trung thaát tröôùc Trung thaát giöõa Trung thaát sau
Tuyeán giaùp Haïch U nguoàn goác thaàn kinhTuyeán öùc Keùn pheá quaûn Thoaùt vò hoaønhHaïch Phình cung ÑMC Daõn thöïc quaûnU quaùi Daõn tónh maïch Phình ÑMC xuoángPhình ÑMC leân
![Page 82: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/82.jpg)
![Page 83: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/83.jpg)
Traøn khí trung thaát
![Page 84: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/84.jpg)
![Page 85: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/85.jpg)
![Page 86: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/86.jpg)
![Page 87: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/87.jpg)
![Page 88: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/88.jpg)
![Page 89: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/89.jpg)
![Page 90: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/90.jpg)
![Page 91: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/91.jpg)
![Page 92: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/92.jpg)
![Page 93: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/93.jpg)
![Page 94: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/94.jpg)
![Page 95: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/95.jpg)
![Page 96: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/96.jpg)
![Page 97: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/97.jpg)
![Page 98: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/98.jpg)
![Page 99: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/99.jpg)
![Page 100: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/100.jpg)
![Page 101: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/101.jpg)
![Page 102: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/102.jpg)
![Page 103: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/103.jpg)
![Page 104: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/104.jpg)
![Page 105: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/105.jpg)
![Page 106: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/106.jpg)
![Page 107: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/107.jpg)
![Page 108: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/108.jpg)
![Page 109: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/109.jpg)
![Page 110: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/110.jpg)
![Page 111: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/111.jpg)
![Page 112: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/112.jpg)
![Page 113: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/113.jpg)
![Page 114: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/114.jpg)
![Page 115: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/115.jpg)
![Page 116: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/116.jpg)
![Page 117: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/117.jpg)
![Page 118: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/118.jpg)
![Page 119: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/119.jpg)
![Page 120: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/120.jpg)
![Page 121: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/121.jpg)
![Page 122: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/122.jpg)
![Page 123: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/123.jpg)
![Page 124: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/124.jpg)
![Page 125: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/125.jpg)
![Page 126: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/126.jpg)
![Page 127: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/127.jpg)
X quang phoåi laø khaûo saùt hình aûnh côbaûn, ñaàu tieân trong beänh lyù phoåi
Coù giaù trò chaån ñoùan, theo doõi..
Keát hôïp caùc khaûo saùt khaùc vaø laâm saøng
KEÁT LUAÄN
![Page 128: HỘI CHỨNG X-QUANG PHỔI](https://reader034.vdocuments.mx/reader034/viewer/2022051404/58ee0e231a28ab69098b46a1/html5/thumbnails/128.jpg)
XIN CAÙM ÔN