User:Terrasa

出自KMU Wiki

胸部X-ray判讀基礎~~

• 一.判讀X光片:

     首先要查看片子的基本資料:姓名.照射日期.姿勢(A-P View or P-A View or    LateralView).品質(KV.Density).

• 二.評估胸部X光成像質:  

    **技術品質Technical quality 

       1.Density orX-ray penetration :透過Heart陰影必須可見到Spinal cord.

       2.Position of the Scapulae:肩胛骨的位置應置於肺野之外.

       3.Rotation of the CXR(採正面):兩側鎖骨近胸骨內側端應與Spinous process等距.

       4. Degree of  inspiration(吸氣末憋氣):Anterior segment of the 6th rib

                                                                         Posterior segment of the 9th rib

• 三.如何判ray: 

       1.Airway

       2.TheHila:Hilum左邊的肺門高於右側 ;肺門的位置可因Lung collapse, Lung fibrosis or           7.Normal Lung Markings:Lung markings is Lung Vessels on X-ray present.

                        Pneumonia   change.

       3.Diaphragm:右邊高於左邊,因右邊有Liver關係, 右側Diaphragm最高點在內2/1處.

       4.Costophenic angle(C-P angle). 

       5.Heart:RA,SVC,Aortic Arch,LA,LV and Pulmonary Artery;Normal Heart size<50%;Cardiomegaly>50%.

       6.Skull or Bone.