XQ Hoi Chung Phe Quan

CHAN OAN HNH ANH HOI CHNG PHE QUAN
BS.NGUYEN QUY KHOANG BS.NGUYEN QUANG TRONG
KHOA CHAN OAN HNH ANH

June 21, 2011
BENH VIEN AN BNH TP.HCM
DAN BAI
1.nh ngha. 2.S tao ra hnh anh cua phe quan. 3.Nhng hnh anh trc tiep. 4.Nhng hnh anh gian tiep. 5.Ket luan.
June 21, 2011 2
DAN BAI
June 21, 2011 3
NH NGHA

Hoi chng phe quan bao gom cac dau hieu X quang trc tiep hoac gian tiep dien ta: S day len cua thanh phe quan. S gian n cua long phe quan. S tac hoan toan hoac khong hoan toan cua long phe quan. ng trc mot hnh anh xep phoi tre em luon luon phai ngh en D vat phe quan,con ngi ln luon luon phai ngh en U phe quan.
4
June 21, 2011
DAN BAI
June 21, 2011 5
S TAO RA HNH ANH CUA PHE QUAN

Phe quan bnh thng: Khong thay c. Phe quan benh ly: Thanh day Hnh anh ng ray xe ng la. la. Khi cac phe nang bao quanh khong con thong kh Hnh anh Kh anh noi phe Kh quan. Khi phe quan b tram bi chat tay. nhay,mu Hnh ruban, Hnh gang tay. ruban, Hnh
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June 21, 2011
DAN BAI
June 21, 2011 7
NHNG HNH ANH TRC TIEP

A.Phe quan co thanh day: day: 1.Do chnh thanh phe quan day: -Hnh ng ray,hnh ch Y,hnh vong nhan,hnh mot ng song song vi mach mau. -Nguyen nhan: a/Viem phe quan man tnh. b/Hut thuoc nhieu. c/Gian phe quan. d/Phe quan dan lu. 2.Do mo ke quanh phe quan: Phu mo quan: ke.
June 21, 2011 8

B.Phe quan bnh thng tren mot nen phe nang ong ac: Kh anh noi phe quan (Air ac: bronchogram). -Nguyen nhan: a/Viem phoi. b/Phu phoi phe nang. c/Nhoi mau phoi. C.Phe quan b tram ay va gian n: Hnh ruban, n: hnh ch Y, hnh gang tay. -Nguyen nhan: a/Gian phe quan dang ong hoac tui. b/Viem phe quan man tnh. c/Mucoviscidose. D.Phe quan b tac nghen: Ro tren hnh chup phe nghen: quan June 21, 2011 can quang. 9
GIAN PHE QUAN: KHAU KNH PHE QUAN LN HN ONG MACH SONG HANH
June 21, 2011Imagerie
des voies aeriennes. C.Beigelman et al. JFR 2003.
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June 21, 2011
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June 21, 2011
12
June 21, 2011
13
June 21, 2011
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Chup can quang phe quan vi Lipiodol

June 21, 2011 15
VIEM PHE QUAN MAN TNH (Hnh anh ng ray xe la vi vach phe quan day)
June 21, 2011
Joseph K.T.Lee. Lee computed body tomography with MRI correlation. 1998
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Tai tao coronal-2D: Hnh anh KPQ bnh thng. June 21, 2011
Imagerie des voies aeriennes. C.Beigelman et al. JFR 2003.
Tai tao coronal 2D: Gian phe quan + Day thanh PQ thuy tren (P)
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June 21, 2011
18
June 21, 2011
D.Anthoine.LImagerie Thoracique
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June 21, 2011
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June 21, 2011
Hnh ngon tay eo gang (Aspect en doigts de gant)
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June 21, 2011
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June 21, 2011
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MUCOVISCIDOSE
June 21, 2011 24
ASPECT EN SAUCISSE: Bronchopyogene tuberculeux

June 21, 2011 25
June 21, 2011
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VARICOID BRONCHIECTASIS: GIAN PHE QUAN DO LAO

June 21, 2011
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CYSTIC BRONCHIECTASIS
June 21, 2011
28
June 21, 2011
29
BILATERAL CYSTIC BRONCHIECTASIS: MUCOVISCIDOSE

June 21, 2011 30
CYLINDRICAL BRONCHIECTASIS
June 21, 2011
CYLINDRICAL & CYSTIC BRONCHIECTASIS

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MUCOVISCIDOSE
June 21, 2011 32
MUCOVISCIDOSE
June 21, 2011
33
HOI CHNG KARTAGENER Situs inversus + Gian phe quan hai ben
June 21, 2011
34
Bong m ong nhat thuy tren phoi (T) vi Kh anh noi phe quan (Air Bronchogram) VIEM PHOI June 21, 2011 THUY
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Bong m ong nhat thuy di phoi (P) vi Kh anh noi phe quan (Air Bronchogram) VIEM PHOI THUY June 21, 2011
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SEO HEP PHE QUAN SAU LAO (POSTTUBERCULOUS STENOSIS)

June 21, 2011 37
June 21, 2011
X HOA MO KE GAY GIAN PHE QUAN
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Click here !
June 21, 2011
Noi soi phe quan ao (Virtual bronchoendoscopy)-Bnh thng.
39
Click here !
Noi soi phe quan ao U noi phe quan trung gian. June 21, 2011
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Tai tao coronal-2D va Noi soi ao: U KH QUAN

June 21, 2011Alain
Blum.Scanographie volumique multicoupe.MASSON.
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Tai tao coronal-2D va tai tao 3D: HEP PHE QUAN GOC (T) (Wegeners disease).
June 21, 2011Alain
Blum.Scanographie volumique multicoupe.MASSON.
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DAN BAI
June 21, 2011 43
NHNG HNH ANH GIAN TIEP

A.Xep phoi. phoi. B. kh phoi: phoi: -Nguyen nhan: a/D vat ng th. b/Viem tieu phe quan. C.Xep hnh a (ng Fleischner). -Nguyen nhan: a/Beo ph. b/Co thai. c/Bang bung. d/Phnh c hoanh. e/Liet c hoanh. f/Sau mo ai phau. g/Thuyen tac ong mach phoi. D.Xep phoi tron (Atelectasie ronde): ay la ton thng cua chu mo phoi cung vi phe quan va mach mau b cuon tron bi mang phoi sau mot TDMP cu.
June 21, 2011 44
June 21, 2011
XEP THUY TREN PHOI (P)
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XEP THUY TREN PHOI (T)

June 21, 2011 46
June 21, 2011
XEP THUY DI PHOI (T)
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XEP THUY DI PHOI (T) Ron phoi (T) b keo xuong thap hn so vi ron phoi (P).Tang thong kh bu tr thuy tren phoi (P).
June 21, 2011 48
June 21, 2011
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CHAN OAN PHAN BIET
HOI CHNG MAC LEOD

June 21, 2011
(Kh phe thung + Giam san bam sinh mot ben ong mach 50 phoi)
June 21, 2011
XEP THUY TREN PHOI (P) DO NUT NHAY SAU CN HEN PHE QUAN NANG
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June 21, 2011
XEP PHAN THUY NGOAI THUY GIA PHOI (P)
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June 21, 2011
53

CHAN OAN PHAN BIET
PECTUS EXCAVATUM
June 21, 2011 54
XEP PHOI DANG A

June 21, 2011 55
XEP PHOI DANG A
June 21, 2011
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June 21, 2011
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Vom hoanh det v kh phoi VIEM TIEU PHE QUAN

June 21, 2011 58
Vom hoanh det v kh phoi VIEM TIEU PHE QUAN

June 21, 2011 59
Inspiration
June 21, 2011
Expiration
60
VIEM TIEU PHE QUAN TAC NGHEN
June 21, 2011
61
Tre 13 thang tuoi,ang chi trong vn th xuat hien kho th ot ngot D vat phe quan can quang.
June 21, 2011 62
Inspiration
Expiration
June 21, 2011
63
Phim chup th ht vao
Phim chup th th ra kh phoi (T) D vat phe quan khong can quang (hat au phong).
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June 21, 2011
D vat phe quan khong can quang (hat au phong) chay qua chay lai gia PQ goc (P) va (T)
June 21, 2011
Corps etranger a bascule
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Cau truc bat thng trong long phe quan trung gian.
Bay kh (air-trapping) thuy di phoi (P) trong th th ra.
June 21, 2011
D VAT PHE QUAN (Cauliflower)
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XEP PHOI TRON

June 21, 2011 67
DAN BAI
June 21, 2011 68
KET LUAN
1.Ghi nh 5 dau hieu cua Hoi chng phe quan: Day,gian,xep, kh,xep hnh a. 2.Nguyen nhan cua tac phe quan hiem khi ro rang,thng do suy dien. 3.Viec tm ranh lien thuy la ieu tien quyet e chan oan xep phoi, kh phoi.
June 21, 2011 69
June 21, 2011
CAM N S CHU Y THEO DOI CUA QUY BAC S
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XQ Hoi Chung Phe Quan

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CHAN OAN HNH ANH HOI CHNG PHE QUAN

BS.NGUYEN QUY KHOANG BS.NGUYEN QUANG TRONG

KHOA CHAN OAN HNH ANH

BENH VIEN AN BNH TP.HCM

June 21, 2011

S TAO RA HNH ANH CUA PHE QUAN

June 21, 2011

NHNG HNH ANH TRC TIEP

NHNG HNH ANH TRC TIEP

NHNG HNH ANH TRC TIEP

des voies aeriennes. C.Beigelman et al. JFR 2003.

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

Chup can quang phe quan vi Lipiodol

NHNG HNH ANH TRC TIEP

NHNG HNH ANH TRC TIEP

Imagerie des voies aeriennes. C.Beigelman et al. JFR 2003.

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

June 21, 2011

Hnh ngon tay eo gang (Aspect en doigts de gant)

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

NHNG HNH ANH TRC TIEP

ASPECT EN SAUCISSE: Bronchopyogene tuberculeux

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

VARICOID BRONCHIECTASIS: GIAN PHE QUAN DO LAO

NHNG HNH ANH TRC TIEP

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

BILATERAL CYSTIC BRONCHIECTASIS: MUCOVISCIDOSE

NHNG HNH ANH TRC TIEP

CYLINDRICAL & CYSTIC BRONCHIECTASIS

NHNG HNH ANH TRC TIEP

NHNG HNH ANH TRC TIEP

June 21, 2011

NHNG HNH ANH TRC TIEP

NHNG HNH ANH TRC TIEP

NHNG HNH ANH TRC TIEP

NHNG HNH ANH TRC TIEP

SEO HEP PHE QUAN SAU LAO (POSTTUBERCULOUS STENOSIS)

NHNG HNH ANH TRC TIEP

June 21, 2011

X HOA MO KE GAY GIAN PHE QUAN

NHNG HNH ANH TRC TIEP

Noi soi phe quan ao (Virtual bronchoendoscopy)-Bnh thng.