胸部常见疾病CT诊断与鉴别诊断课件.ppt

1、胸部常见疾病胸部常见疾病CT诊断与鉴别诊断诊断与鉴别诊断2020/11/142第一节第一节 正常胸部正常胸部CT影像影像2020/11/1432020/11/1442020/11/1452020/11/1462020/11/147观察纵隔结构采用纵隔窗观察纵隔结构采用纵隔窗2020/11/1482020/11/1492020/11/14102020/11/14112020/11/1412观察肺结构采用肺窗观察肺结构采用肺窗2020/11/1413HRCT2020/11/14142020/11/14152020/11/14162020/11/14172020/11/14182020/11/141

2、92020/11/14202020/11/14212020/11/14222020/11/14232020/11/14242020/11/14252020/11/14262020/11/14272020/11/14282020/11/14292020/11/14302020/11/14312020/11/14322020/11/14332020/11/14342020/11/14352020/11/14362020/11/14372020/11/14382020/11/14392020/11/1440 支气管扩张支气管扩张 肺炎肺炎 肺脓肿肺脓肿 肺结核肺结核 肺肿瘤肺肿瘤 纵隔原发性肿瘤纵隔

3、原发性肿瘤2020/11/1441支扩支扩一、支气管扩张一、支气管扩张2020/11/1442 CT表现表现2020/11/14432020/11/14442020/11/14452020/11/14462020/11/1447病理分期病理分期CT表现表现大叶性肺炎大叶性肺炎2020/11/1448l病变的吸收晚于症状的好转病变的吸收晚于症状的好转l两周内吸收完两周内吸收完,少数时间较长少数时间较长,12月月.l偶可机化成机化性肺炎偶可机化成机化性肺炎2020/11/14492020/11/14502020/11/14512020/11/14522020/11/14532020/11/1454

4、2020/11/14552020/11/14562020/11/14572020/11/14582020/11/14592020/11/14602020/11/14612020/11/14622020/11/14632020/11/14642020/11/14652020/11/14662020/11/14672020/11/14682020/11/14692020/11/14702020/11/14712020/11/14722020/11/14732020/11/14742020/11/14752020/11/14762020/11/14772020/11/14782020/11/1479

5、2020/11/14802020/11/14812020/11/14822020/11/14832020/11/14842020/11/14852020/11/14862020/11/14872020/11/14882020/11/14892020/11/14902020/11/14912020/11/14922020/11/1493 CT表现：表现：早早晚晚2020/11/14942020/11/14952020/11/14962020/11/14972、周围型肺癌、周围型肺癌2020/11/14982020/11/14992020/11/141002020/11/141012020/11/

6、141023、细支气管肺泡癌、细支气管肺泡癌肺泡癌时由于癌细胞分泌多量粘液，实变区内密度肺泡癌时由于癌细胞分泌多量粘液，实变区内密度较低，可见其内高密度的血管影，为其重要特征较低，可见其内高密度的血管影，为其重要特征2020/11/141032020/11/14104肝癌病史肝癌病史2020/11/141052020/11/141062020/11/14107 临床表现临床表现2020/11/141082020/11/141092020/11/141102020/11/141112020/11/141122020/11/141132020/11/141142020/11/141152020/11/141162020/11/141172020/11/141182020/11/141192020/11/141202020/11/141212020/11/141222020/11/5123谢谢观赏！