알기 쉽게 이해하는 chest x-ray
DESCRIPTION
알기 쉽게 이해하는 Chest X-Ray. RN 이계숙 RN 이나영. Contents. 단순 x-ray 촬영의 기초 density( 음영 ) 의 이해 흉부 기본 촬영 방사선 흉부 해부학 position of tubes and catheters 비정상 흉부 x-ray 소견의 유형 음영 증가시 병변 음영 감소성 병변. x- 선 음영. 촬영을 하게 되면 X 선이 필름에 닿아 그것을 검게 만든다 . - PowerPoint PPT PresentationTRANSCRIPT
-
Chest X-RayRN RN
chest x-ray
Contents x-ray density() position of tubes and catheters x-ray
chest x-ray
x- X . x . x . , x .
chest x-ray
x 5 > > () > > , . .
chest x-ray
. . x- , . . . , .
chest x-ray
. . x .
chest x-ray
Silhouette sign . .
chest x-ray
chest x-ray
**CT(computed tomogram) . CT
chest x-ray
density() * Density ? *WhiteInfiltration / hazzinessconsolidationGGO (ground glass opacity)CavityPneumonia, pulmonary edema, pleural effusion
chest x-ray
* density * Black lucent pneumothorax , emphysema
chest x-ray
chest x-ray
Chest PA . . X PA(postero anterior view) . .
chest x-ray
Chest PA: position
chest x-ray
Chest APchest AP : AP(antero-posterior view) .
chest x-ray
Lateral view PA .
chest x-ray
Lateral view: position
chest x-ray
Decubitus view( )Decubitus . . . , .(Right lateral decubitus)
chest x-ray
chest x-ray
: Normal anatomylungheartmediastinumdiaphragmbony thoraxsoft tissueupper abdomen lung soft tissue opacity liver lung
chest x-ray
: , , , , . x-ray .
chest x-ray
chest x-ray
, , , 3 (lobe) , PA RML RLL lateral .
chest x-ray
chest x-ray
chest x-ray
RML RLL -> Lateral view
chest x-ray
, 2 .
chest x-ray
chest x-ray
chest x-ray
(visceral pleural) , (parietal pleural) . . , , . (Interstitium) (interlobular septum), , (pulmonary arteriole) (alveolar wall) . (bronchioles) (alveoli) .
chest x-ray
, , . .(diaphragm) , (hemidiaphragm) . .
chest x-ray
Position of Tubes and Catheters
chest x-ray
Endotracheal tube carina 3-5cm . clavicle 3cm .
chest x-ray
chest x-ray
Central venous catheter tip SCV innominate vein . x-ray Rt bronchus , Aortic arch .
chest x-ray
chest x-ray
chest x-ray
Chest tubetip chest side hole .Pneumothorax -> chest tube , 2-3 rib tip Effusion -> tip Rib 8-9
chest x-ray
chest x-ray
chest x-ray
L tubeGE junction 10cm
chest x-ray
Swan Ganz catheter Mediastinal shadow 2cm
chest x-ray
chest x-ray
x-ray
chest x-ray
: ConsolidationAir space disease ,(: )
chest x-ray
(Airspace consolidation), , Air-bronchogram
chest x-ray
chest x-ray
(atelectasis): . : . - , : . - ,
chest x-ray
Major fissure chest PA , **Major fissure: fissure
chest x-ray
chest x-ray
Atelectasis VS consolidationAtelectasisDensity BlackLung volume loss tracheal shiftingConsolidationDensity White replace
chest x-ray
, X, (cavitation) 3 cm : nodule3 cm : mass
chest x-ray
RLL mass 7Cm -> R/O Lung cancer
chest x-ray
Cavity , , upper lobe -> active pulmonary Tb
chest x-ray
chest x-ray
-
chest x-ray
chest x-ray
chest x-ray
chest x-ray
?? .
chest x-ray
reference. X 3..2006Hugue ouelltte, MD. . . 2004Benjamin Felson , Felson's Principles of Chest Roentgenology , W.B. Saunders Company , 2005
13756309 (75/M) Organizing pneumonia33688323 (70/M)LLL collapse, squamous cell ca26045959 64/MSquamous cell ca29657368 55/MActive pulmonary TB with cavity28774525 71/MEmphysema