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CLS H HP X-quangCLB Ni Khoa Sinh Vin Y Dc Hu

MC TIUNm c s b v nguyn l, ch nh, cc du hiu c bn ca X quang phi, cch nh gi X quang phi chun.Nm c cc hi chng c bn ca X quang phi

Cc ni dung chnh cn nmNguyn l Xquang, ch nh chp , cc c phim XQMt s du chng c bn trn XquangCc hi chng h hp trn XquangMt s by thng gp

Lch s x quang

Tnh cht tia xTnh truyn thng v m xuynTnh b hp thuLm i mu phim nhTc ng sinh hc

Cc mc m c bn trn phim x quang

KhViNcM4 nc c bn len ca khng khxm sm ca mxm nht ca nc v m mmtrng ca xng.

X- QUANGNguyn l x-quang l g ?- Pht mt chm tia x c cng tia va phi chiu ln vt cn chp, tia to ra s thay i trn phim chn ( mn chn k thut s ) to thnh hnh nh.

T th chp X quang

Ti sao phi nh mt phim X quang chun trc khi c ?Vic c mt phim X-quang khng ng tiu chun c th gy ra sai lm khi nh gi cc bt thng. V vy lun phi nh gi trc khi c, c X-quang kt hp vi lm sng trc khi a ra chn on. Nu cn thit phi chp li phim

X quang chun

Hon ton thng: b trong xng n i xng nhau qua ng gia Cn xng : mc hi dch ti hi d dy, hai xng b vai tch ra khi lng ngc. Ht vo su: cung trc xng sn 6 - 7 trn vm honh. Cung sau xng sn 10 tr xung i quang tt : Thy c 3 - 4 t sng ngc trn,thy c mch mu sau tim gan, thy mch mu cch ngoi vi phi 1-2cm.

Thng cn, ht, i quang.

thng cn xng

Ht su ?

M XUYN

Ch nh chp XQ Ngc

Trnh t c 1 phim x quangVic c X-quang theo mt th t nht nh s gip bn nh gi mt cch c h thng, trnh b st tn thng

Cc du hiu c bn Du hiu bng chng Du hiu tip tuyn S-golden

Cho hnh vung n bao ly 1. 2. 3. mc ch ch nhn mnh 3 du hiu u17

Du hiu bng chng:Hai b phn cng m , nu cng mt mt phng th khng thy ranh gii ca nhau.Hay 2 b phn khc m cng mt phng hoc cng m nhng khc mt phng th thy c b ca nhau.

DU HIU TIP TUYNB ca tn thng thy c khi b ca n c m khc vi mi trng xung quanh hay b ca n tip tuyn vi tia x

Du hiu S Golden

Nhng im cn nm X QUANG CHUN Thng cn, ht, i quangTH T C X QUANGDU HIU BNG CHNG

Gii phu h h hp

Tc dng ca phim X quang phi nghing? Xc nh v tr ca tn thng theo thy v phn thyChn on nh hng cc khi u trung thtKho st cc vng sau tim tri, sau vm honh hoc trc rn phiChn on TDMP t m dch khu tr gc sn honh sau khng nhn r trn phim chp thng

Cc hi chng c bn trong Xquang ngcHi chng mng phiHi chng ph boHi chng kHi chng ph qun

Hi chng mng phi N: S biu hin ca kh , dch hoc m bt thng trong khoang mng phi hoc ngay mng phi.Trn dch mng phi Trn kh mng phi

Trn dch mng phi

Trn dch mng phi t doHnh nh m m thun nht , khng c hnh nh nhu m phi.Mt gc sn honhC ng cong Damoiseau

Bc 1: Th tcBc 2: Phn mmBc 3: C honhBc 4: XngBc 5: Mng phiBc 6: Nhu m v rn phiBc 7: Trung tht

TDMP lng va ( ng cong Damoiseau

TDMP t do lng nhiu

Trn dch mng phi khu trC th khu tr trn vm honh, Gc tm honh Rnh lin thu Trung tht hoc thnh ngcVng nch

TDMP rnh lin thy b

Trn kh mng phiPhi bn trn kh sng hn bnh thng, bn trong vng sng khng c hnh nh nhu m phiNhu m phi b p xp v pha rn phiC honh b y xung thpTim v kh qun b y v pha i din

Trn dch kt hp trn kh mng phi

Hi chng ph bo

nh ngha: Gm cc du hiu hnh nh th hin c dch hoc t bo lnh hay c tnh trong lng ph nang

Cc dng tn thng c bnNt m ph nang (nt m ph bo)m m ph boChn on HCPB khi c 2 trong 7 triu chng in hnh

7 triu chng in hnhNt m ph nangB tn thng m (nu ta ln rnh lin thy th b r)C xu hng tp trungm m hnh tam gic, dng thy hay phn thy, khng ng nhtC th c m hnh cnh bmHnh nhnh ph qun khLan rng v bin mt nhanh (di 48h)

Khi m hnh tam gic thy trn phi P, m m khng thun nht, y hng v ngoi vi , nh hng v rn phi, c hnh nh ph qun kh

P XE PHI

Hi chng k

T chc k l t chc lin kt quanh ph qun mch mu, vch liu thy, di l tng mng phi, thnh ph boCc khoang ca t chc k thng vi nhau v khng nhn thy c trn phim X quang trng thi thng.

-

Cc dng tn thng - Hnh nh knh m (verre dpoli) - Nt m nh (ht k) - Hnh nh m dng li - Hnh nh li_nt (rticulo_nodulaire) - Hnh nh nt m ln v khi m - Hnh m t ong

Nt m nh: 3-7 mm Nt m ln : 7-20mmKhi m: >20mm

c im tn thngM r ntKhng tp trungKhng c dng thy, phn thyKhng c hnh nh ph qun khTin trin chmNt m nh: 3-7 mm Nt m ln : 7-20mmKhi m: >20mm

Hnh nh th bng

Tn thng dng k

Phn bit hi chng k v hi chng ph boTnh chtHC ph boHC kBMR ntHp lu, h thng(+)(-)Cy ph qun kh(+)(-)Hnh cnh bm(+)(-)Tin trinNhanhChm

Hi chng ph qunDu hiu trc tip - Dy thnh ph qun (ng ray xe la, sng 2 nng, phi bn) - Gin ph qun (ng ray xe la, sng 2 nng, gi t ong,...) - ng ph qun (di m hnh ch V, Y, ngn tay eo gng,...)Du hiu gin tip - Xp phi (do tc PQ hon ton) - Cng gin phi do hp khng hon ton

Du hiu trc tip: Dy thnh ph qun

Bnh thng cc ph qun c vch mng, khng thy trn X quang qui c, khu knh gim dn t trung tm ra ngoi vi. Khi ph qun b dn, vch dy ln, tr nn song song vi nhau, cho ta hnh nh ng ry xe la, hnh nh ny thy r hn trn phim chp cn quang ph qun, hoc phim CT

Dn ph qunDng ng Dng trng ht Dng kn hoc ti

X-Quang-Biu hin cc m m hnh ng do ph qun b lp y cht nhy-Thnh ph qun dy khng u , ng ray xe la, hnh sng hai nngC cc sng nh ging hnh gi t ong, sng vi mc dch 7- 30% gin ph qun chp phim phi khng thy bt thngCT l tiu chun vng chun on gin ph qun

Lm sng: ho ra mu khc m lng nhiu 4 lp

Du hiu gin tipXp phi do tc ph qun hon tonBng m r c kch thc nh hn vng phi bnh thngCc du hiu gin tip ca xp phi: co ko rnh lin thy, rn phi, trung tht, c honh ; hp khong lin sn , phi lnh th bS golden

Tng kt2. Hi chng ph boKhi m khng ng nht, b khng r, c dng thy hoc phn thy, kh ph qun kh, hnh cnh bm3. Hi chng k- M r nt, khng tp trung, khng c hnh nh ph qun kh

3. Hi chng ph qun- Dy thnh ph qun: hnh nh ng ray xe la, sng 2 nng.- Gin ph qun: thnh ph qun dy, gi t ong CT l tiu chun vng chn on gin ph qun.- Xp phi do tc ph qun: S golden , du co ko.1. Hi chng mng phi:Trn dch: m NG NHT , khng c hnh nh nhu m Trn kh: Phi sng hn BT, khng thy nhu m phi.

Mt s by trn x quang

.Ngi ta ch gp ci ngi ta i tm v ch tm nhng ci ngi ta bitOn ne trouve que ce quon cherche et on ne cherche que ce quon connait -

X QUANG phi da vo lm sng i tm cc du hiu tuy nhin nhng tn thng trn x quang m khng km vi lm sng u phi c tm hiu theo di thm. Trc ht cn phn bit c cc trng hp bnh thng hay c xem nhm l bt thng m ngi ta gi l by.

Lm sng : nn i nhiu

Lm sng: BN hi tc ngc phi

Cch khc phc cc sai lmLun nh: hnh nh Xquang ch l bng ca s tht. Xquang ngc trong a s trng hp bnh l vng ngc cn khai thc trit trc khi dng CTPhi bit c phim X-quang ng cch.Nm vng cc hnh nh c bn, cc hi chng trn Xquang cng nh cc by va nu.

Cm n s theo di ca cc bn