mediastinal Syndrome
description
Transcript of mediastinal Syndrome
-
October 31, 2014 1
CHAN OAN HNH ANH
HOI CHNG TRUNG THAT
BS.NGUYEN QUY KHOANG
BS.NGUYEN QUANG TRONG
KHOA CHAN OAN HNH ANH
BENH VIEN AN BNH -TP.HCM
-
2October 31, 2014
DAN BAI
I.nh ngha.
II.Nhac lai giai phau trung that.
III.Trieu chng hoc X quang.
IV.Chan oan cac khoi u da vao v tr.
V.Mot so benh ly trung that.
VI.Ket luan.
-
3October 31, 2014
DAN BAI
I.nh ngha.
II.Nhac lai giai phau trung that.
III.Trieu chng hoc X quang.
IV.Chan oan cac khoi u da vao v tr.
V.Mot so benh ly trung that.
VI.Ket luan.
-
4October 31, 2014
NH NGHA
Hoi chng trung that bao gom cac dau hieu X
quang dien ta s hien dien cua cac te bao bat
thng trong trung that (Kh,dch,ong voi,
bu).
Can lu y rang ng knh cua hach c qui
c o theo be ngang ch khong phai la be
dai cua hach va neu kch thc nay 1cm la hach bnh thng (khong phai la hach benh
ly).
-
5October 31, 2014
DAN BAI
I.nh ngha.
II.Nhac lai giai phau trung that.
III.Trieu chng hoc X quang.
IV.Chan oan cac khoi u da vao v tr.
V.Mot so benh ly trung that.
VI.Ket luan.
-
6October 31, 2014
NHAC LAI GIAI PHAU TRUNG THAT
NG VIEN TRUNG THAT
B PHAI TRUNG THAT
1.Than TM canh tay-au (P).
2.TMC tren.
3.Nh (P).
4.TMC di.
5.Ron phoi (P).
6.Vien m trc tim (Franges graisseuses).
B TRAI TRUNG THAT
7.M di on (T).
8.Quai MC.
9.Cung MP.
10.That (T).
11.Ron phoi (T).
12.Vien m trc tim (Franges graisseuses).
-
7October 31, 2014
NHAC LAI GIAI PHAU TRUNG THAT
CACH PHAN CHIA TRUNG THAT
THEO BENJAMIN FELSON THEO LUCY SQUIRE
-
8October 31, 2014
DAN BAI
I.nh ngha.
II.Nhac lai giai phau trung that.
III.Trieu chng hoc X quang.
IV.Chan oan cac khoi u da vao v tr.
V.Mot so benh ly trung that.
VI.Ket luan.
-
9October 31, 2014
TRIEU CHNG HOC X QUANG
A.Cac ac iem chung: Khoi u mat o dch,thng ong nhat.
1.Co b ngoai ro,lien tuc.
2.Loi ve pha phoi.
3.Tao mot goc tu vi trung that.
4.B trong khong ro.
B.Cac ac iem rieng: Moi khoi u khac nhau
1.V tr.
2.ng vien.
3.Hnh dang.
4.Mat o.
5.Kch thc.
C.Lam sao khu tru c khoi u trung that?
1.Dau hieu bong b (Silhouette sign).
2.Dau hieu co-ngc (Cervico-thoracic sign).
3.Dau hieu tang bang (Iceberg sign).
4.Dau hieu che lap & Dau hieu hoi tu ve ron phoi
(Hilum overlay sign & Hilum convergence sign).
5.Dau hieu canh buom (Sail sign).
6.Dau hieu co keo thc quan.
-
10October 31, 2014
DAU HIEU BONG B
SILHOUETTE SIGN
SILHOUETTE SIGN (+) SILHOUETTE SIGN (-)
D.Anthoine et al.LImagerie Thoracique.1996-1998.
-
11October 31, 2014
DAU HIEU BONG B
SILHOUETTE SIGN
SILHOUETTE SIGN (+)
D.Anthoine et al.LImagerie Thoracique.1996-1998.
-
12October 31, 2014
DAU HIEU CO NGC
CERVICO-THORACIC SIGN
B:CERVICO-THORACIC SIGN (+) A:CERVICO-THORACIC SIGN (-)
D.Anthoine et al.LImagerie Thoracique.1996-1998.
-
13October 31, 2014
DAU HIEU CO NGC
CERVICO-THORACIC SIGN
CERVICO-THORACIC SIGN (+):
BU GIAP THONG
-
14October 31, 2014
DAU HIEU CO NGC
CERVICO-THORACIC SIGN
CERVICO-THORACIC SIGN (-): NEUROBLASTOMA
-
15October 31, 2014
DAU HIEU NGC-BUNG
THORACO-ABDOMINAL SIGN (ICEBERG SIGN)
ICEBERG SIGN (+) ICEBERG SIGN (-)
-
16October 31, 2014
DAU HIEU NGC-BUNG
THORACO-ABDOMINAL SIGN (ICEBERG SIGN)
ICEBERG SIGN (+) :NEUROBLASTOMA
-
17October 31, 2014
DAU HIEU CHE LAP RON PHOI & DAU HIEU HOI TU RON PHOI
HILUM OVERLAY SIGN & HILUM CONVERGENCE SIGN
D.Anthoine et al.LImagerie Thoracique.1996-1998.
-
18October 31, 2014
DAU HIEU CHE LAP RON PHOI & DAU HIEU HOI TU RON PHOI
HILUM OVERLAY SIGN & HILUM CONVERGENCE SIGN
HILUM OVERLAY SIGN:
TERATOMA
A.J.Chandrasekhar,M.D.Chest X-ray Atlas.
-
19October 31, 2014
DAU HIEU CHE LAP RON PHOI & DAU HIEU HOI TU RON PHOI
HILUM OVERLAY SIGN & HILUM CONVERGENCE SIGN
HILUM OVERLAY SIGN:
TERATOMA
-
20October 31, 2014
DAU HIEU CHE LAP RON PHOI & DAU HIEU HOI TU RON PHOI
HILUM OVERLAY SIGN & HILUM CONVERGENCE SIGN
HILUM CONVERGENCE SIGN:
PHNH ONG MACH PHOI (T)
D.Anthoine et al.LImagerie Thoracique.1996-1998.
-
21October 31, 2014
DAU HIEU CANH BUOM
SAIL SIGN
Bong tuyen c bnh
thng (normal
thymus) tre di
3 tuoi oi khi b
chan oan lam la
khoi u trung that.
Hnh anh thay
c tren X quang
rat a dang,trong
o dau hieu canh
buom la ien hnh.
-
22October 31, 2014
DAU HIEU CANH BUOM
SAIL SIGN
THYMIC SAIL SIGN
-
23October 31, 2014
-
24October 31, 2014
THYMIC SAIL SIGN
Cau truc hoi am luon luon ac,
ong dang
-
25October 31, 2014
Bong m trung that trc vi dau hieu
che lap ron phoi (T),khong chen ep kh
phe quan-Khong co hnh anh xep phoi (T).
Tre 11 thang tuoi,
khong trieu chng ho hap.
Bong m trung that trc co am
o ong nhat
Tuyen c bnh thng.
-
26October 31, 2014
Tre 9 thang tuoi: Tuyen c bnh
thng (cac mui ten trang).am o
tuyen c ong nhat va bang vi
am o c thanh ngc.Mui ten en
ch ong sonde trong thc quan.
Tre 14 tuoi: Tuyen c bnh
thng (cac mui ten
trang).am o tuyen c
ong nhat va bang vi am
o c thanh ngc.
-
27October 31, 2014
DAN BAI
I.nh ngha.
II.Nhac lai giai phau trung that.
III.Trieu chng hoc X quang.
IV.Chan oan cac khoi u da vao v tr.
V.Mot so benh ly trung that.
VI.Ket luan.
-
28October 31, 2014
CHAN OAN X QUANG CAC KHOI U TRUNG THAT
DA VAO V TR (THEO LUCY SQUIRE)
1.Bu giap thong.
2.Bu tuyen hung.
3.Bu d hnh.
4.U hach.
5.Thoat v qua lo Morgagni.
6.Nang phe tam mac.
7.Nang phe quan.
8.Thoat v qua khe thc quan.
9.Khoi u thc quan.
10.Tui phnh ong mach chu.
11.Thoat v qua lo Bochdallek.
12.Bu than kinh.
-
29October 31, 2014
CHAN OAN X QUANG CAC KHOI U TRUNG THAT
DA VAO V TR
-
30October 31, 2014
CHAN OAN X QUANG CAC KHOI U TRUNG THAT
DA VAO V TR
-
31October 31, 2014
DAN BAI
I.nh ngha.
II.Nhac lai giai phau trung that.
III.Trieu chng hoc X quang.
IV.Chan oan cac khoi u da vao v tr.
V.Mot so benh ly trung that.
VI.Ket luan.
-
32October 31, 2014
MOT SO BENH LY TRUNG THAT
TRAN KH TRUNG THAT
-
33October 31, 2014
MOT SO BENH LY TRUNG THAT
RING AROUND THE ARTERY SIGN
Dau hieu nay thay c chu yeu tren phim ngc nghieng giup chan oan
Tran kh trung that.
-
34October 31, 2014
MOT SO BENH LY TRUNG THAT
KHOI U TRUNG THAT SAU + CALCIFICATION
= NEUROBLASTOMA
-
35October 31, 2014
MOT SO BENH LY TRUNG THAT
HODGKINS DISEASE
-
36October 31, 2014
MOT SO BENH LY TRUNG THAT
Bong m a cung canh (P) kh quan
Luon luon phai ngh LAO HACH
-
37October 31, 2014
MOT SO BENH LY TRUNG THAT
HODGKIN MYCOPLASME TUBERCULOSE
-
38October 31, 2014
MOT SO BENH LY TRUNG THAT
KHOI U TRUNG THAT TRC + CALCIFICATION
+ M + DCH = TERATOMA
-
39October 31, 2014
MOT SO BENH LY TRUNG THAT
Tre 8 tuoi:Bong m trung that
nam canh (P) kh quan.BRONCHOGENIC CYST
-
40October 31, 2014
MOT SO BENH LY TRUNG THAT
BRONCHOGENIC CYST
-
41October 31, 2014
MOT SO BENH LY TRUNG THAT
NANG PHE TAM MAC
-
42October 31, 2014
MOT SO BENH LY TRUNG THAT
NANG MANG TIM / ASBESTOSIS
-
43October 31, 2014
DAN BAI
I.nh ngha.
II.Nhac lai giai phau trung that.
III.Trieu chng hoc X quang.
IV.Chan oan cac khoi u da vao v tr.
V.Mot so benh ly trung that.
VI.Ket luan.
-
44October 31, 2014
KET LUAN
ng bao gi chan oan U tuyen c
tre < 3 tuoi.Neu co g nghi van,co the
dung Sieu am e xac nh chan oan
(tuyen c bnh thng co cau truc
ac,ong dang).
Dau Bernou ch co gia tr tng oi,v co
nhng bong m tng la trong nhu
mo phoi,nhng thc te lai la bong m
trung that.
-
45October 31, 2014
CAM N S CHU Y THEO DOI CUA QUY BAC S