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Results The displayed number of the segmental and sub-segmental bronchia with 2.5 mm thick slices was more than that of 5 mm and 3.75 mm. There were no differences between 5 mm and 3.75 mm, or 2.5 mm and 1.25 mm slices in the display of them.

结果 2.5mm层厚MDCT显示的肺段及肺亚段支气管数均高于5及3.75mmMDCT;5和3.75mm、2.5和1.25mm层厚MDCT对肺段及肺亚段支气管的显示数无统计学差异。

Movement of the diaphragm recovered.Conclusion:When more pulmonary tissue needs to be resected,segmental bronchial extirpation and diaphragm upward displacement shou ld be used to prevent residual pleural cavity and movement of mediastinum,to rel ease overexpansion of pulmonary tissue and to preserve more pulmonary function.

支气管扩张症需切除较多肺组织时,应合并采用肺段支气管剔除术和膈肌上移术,以达到防止胸膜残腔,减轻纵隔移位,减轻肺过度膨胀和最大限度保护肺功能的目的。

Results The segmental bronchial ramifications of the left upper lobe were classified into three types mainly: common stem of apical and posterior segmental bronchi (64%, 130/200), trifurcation (23%,45/200), common stem of apical and anterior segmental bronchi (10%, 21/200), and they could be identified in two typical slices of transverse thin-section CT.

左肺上叶3种主要分支类型可以通过薄层CT横断面图像2个典型层面辨认;左肺下叶依据基底干支气管分支的不同分为2种主要类型,Ⅰ型163例(75%):基底干支气管两分支,即内前底段支气管、外后底段支气管;Ⅱ型39例(18%):基底干支气管3分支,即内前底段、外侧底段、后底段支气管。

Results: Amang 128 patients, 56 cases were diagnosed as pulmonary carcinoma (43.75%), of which 30 cases were squamous carcinoma (53.57%), 22 cases were adenocarcinoma (39.29%), 4 cases were small cell undifferentiated carcinoma (7.14%); 37 cases were bronchial pneumonia (28.91%), in which 30 cases were given brush sampling, bacterial culture of BALF, the detectable rate of pathogenic bacteria were 50%(15 cases) and 40%(12eases) respectively; 12 eases were pulmonary tuberculosis (9.38%), of which 3 eases (25%) had concurrent endobronchial tuberculosis, smear of brush biopsy and BALF found Mycobacterium tuberculosis were 11 eases (91.67%) and 5 eases (41.67%) respectively, 2 eases were diagnosed as caseous tubereulous granuloma (16.67%); 2 eases were idiopathic pulmonary fibrosis (1.56%), lease was lymphoma of long.

结果:128例患者确诊为肺癌56例(43.75%),其中鳞癌30例(53.57%),腺癌22例(39.29%),小细胞癌4例(7.14%);支气管肺部炎症病变37例(28.91%),其中30例经防污毛刷采样、支气管肺泡灌洗液行细菌学培养,病原菌的检出率分别为50%(15例)和40%(12例);肺结核12例(9.38%),其中合并支气管内膜结核3例(25%),刷检涂片和支气管肺泡灌洗液找到结核杆菌分别为11例(91.67%)和5例(41.67%),病理确诊为结核性乾酪样肉芽肿2例(16.67%);特发性肺间质纤维化2例(1.56%),肺淋巴瘤1例(0.78%)。

Retrospective study on 29 cases with thoracic diseases. Among them ,lung cancer 16 cases ,esophagus carcinoma 9 cases,intra-segmental segregation 1 case,azygos venous malformation 1 case,chronic bronchitis 1 case,acute trauma hematom in right lung 1 case.

分析 2 9例胸部疾病的间断闭气磁共振气管、支气管单层扫描检查患者,其中支气管肺癌 1 6例,食管癌 9例,肺内型肺段隔离症 1例,奇静脉畸形 1例,慢性支气管炎 1例,肺内急性外伤血肿 1例。

Objective:To observe the difference of pulmonary function and bronchodilatation test of the cases with asthmatic patients in their alleviative period.

目的:观察支气管哮喘缓解期老年及青年患者的肺通气功能、支气管舒张试验有何异同方法:对处于支气管哮喘缓解期的老年患者36例,青年患者28例,进行肺通气功能、支气管舒张试验测定并比较分析。

Methods:In a less invasive bronchoscopic approach designed to mimic LVRS,one-way valves are inserted into selected bronchi in emphysematous portions of the lung.

目的:探讨支气管镜肺减容术的作用机制、适应证、安全性、疗效、景方法:与肺减容术相似,通过纤维支气管镜向肺气肿部分的支气管置入单向活瓣。

The intersegmental veins can be considered as the main tributary of pulmonary segmental veins and it commonlly located in the inferior, interior and posterior side of the corresponding segmental bronchi.

肺段动脉与支气管紧密伴行,并有基本一致的分支和分布,多位于支气管的上、外或前方;肺段静脉不与支气管分支一致,可分段内支与段间支,后者可视为肺段静脉的主干,多位于肺段支气管的下、内或后方。

Resujts:① The distribution of lesions are mostly symmetrical, extensive, predominant in the middle and lower lung fields, and posterior areas in peripheral;② There are so many HRCT findings of lung, ILD is predominant: intralobular interstitial thickening 46 cases (100%), ground-glass opacity 41 cases (89.13%), peribronchovascular or centrilobular interstitial thickening 40 cases (86.96%), interlobular septal thickening 38 cases (82.61%), irregular linear opacity 37 cases (80.43%), small nodular opacity 34 cases (73.91%), subpleural line 27 cases (58.70%), bmnchiectasis or bronchiolectasis 19 cases (41.30%), patch opacity 18 cases (39.13%), expiratory mosaic sign 15 cases (32.61%), interface sign 14 cases (30.43%), honeycombing 12 cases (26.09%), emphysema or bulla 3 cases, cystic airspace suspected 1 case, and atelectasis suspected 1 case;③ Mediastinum and pleura: multiple small lymphonodi in mediastinum 41 cases (89.13%), pleural thickening or rough 38 cases (82.61%), esophagoectasis 11 cases (23.91%), unilateral little pleural fluid 1 case, and mediastinal emphysema 1 case.

结果:①皮肌炎肺部病变分布呈对称、广泛、偏中下、偏外后的特点;②肺部HRCT表现多样,以肺间质性改变为主:小叶内间质增厚46例(100%),磨玻璃影41例(89.13%),支气管血管束增宽或小叶核心增大40例(86.96%),小叶间隔增厚38例(82.61%),不规则纤维索条影37例(80.43%),结节影34例(73.91%),胸膜下线27例(58.70%),支气管或细支气管扩张19例(41.30%),斑片影18例(39.13%),呼气相马赛克征15例(32.61%),界面征14例(30.43%),蜂窝影12例(26.09%),肺气肿或肺大泡3例,单纯囊状气腔1例,肺不张l例;③纵隔及胸膜:纵隔小淋巴结影41例(89.13%),胸膜增厚或毛糙38例(82.61%),食管扩张11例(23.91%),单侧少量性胸腔积液1例,纵隔气肿1例。

Methods: Twenty-four rabbits were randomly divided into three groups:① the control group(group C, n=8): received sternotomy only and no ischemia;② the ischemia/reperfusion group(group I/R, n=8): the left lungs of rabbits were rendered ischemia by ligating the left pulmonary hili for 60 minutes followed by 60 minutes reperfusion;③ the edaravone group(group E, n=8): the left lungs were rendered ischemia for 60 minutes followed by 60 minutes reperfusion, and 10 mg/kg edaravone was administered intravenously 5 minutes prior to ischemia. Blood MDA and SOD were measured. Protein concentrations, WBC count, and PMN percentage in broncho-alveolar lavage fluid were determined. Samples of left lung tissue were sent for determining the left lung dry-to-wet weight ratio and evaluating the pathologic changes.

采用兔肺原位热缺血再灌注损伤模型进行研究。24只大白兔随机分为三组:①对照组(C组, n=8),开胸后不阻断肺门,静脉缓慢推注生理盐水5ml/kg;②缺血再灌注组(I/R组, n=8),左肺接受60min的缺血,然后接受60min再灌注,于缺血前5min静脉缓慢推注生理盐水5ml/kg;③依达拉奉干预组(E组, n=8),于缺血前5min静脉缓慢推注依达拉奉10mg/kg(5ml/kg),左肺接受60min的缺血,然后接受60min再灌注。120min实验结束时,留取各组动物血液标本,测定血浆丙二醛含量及超氧化物歧化酶活性;收集支气管肺泡灌洗液,检测支气管肺泡灌洗液中白细胞计数、中性粒细胞百分比及肺通透性指数;留取肺组织标本,测定肺组织湿、干重量,计算干/湿重比及行肺组织病理检查。

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