[1]党连荣,汪旭强,谢君伟,等.慢性精神分裂症的X线胸片表现分析并文献复习[J].国际放射医学核医学杂志,2008,32(6):363-366.
　DANG Lian-rong,WANG Xu-qiang,XIE Jun-wei,et al.Analysis on breast X-ray of chronic schizophrenia and literature review[J].International Journal of Radiation Medicine and Nuclear Medicine,2008,32(6):363-366.
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
32
期数:
2008年第6期
页码:
363-366
栏目:
临床放射医学
出版日期:
1900-01-01

文章信息/Info

Title:
Analysis on breast X-ray of chronic schizophrenia and literature review
作者:
党连荣;  汪旭强;  谢君伟;  裴根祥
741000 甘肃, 甘肃省天水市第三人民医院放射科
Author(s):
DANG Lian-rong;  WANG Xu-qiang;  XIE Jun-wei;  PEI Gen-xiang
Department of Radiology, Tianshui the Third People Hospital, Gansu Tianshui 741000, China
关键词:
精神分裂症; 放射摄影术; 胸部
Keywords:
Schizophrenia; Radiography; thoracic
摘要:
目的 探讨慢性精神分裂症胸部X线表现及临床特点对其影响。方法 随机抽取在我院精神科住院5年以上的50例患者为精神病组,选取相应健康者为对照组,对其胸片前后对照分析,采用配对t检验对5年前后肺叶面积进行统计学处理;拟订的X线胸片评价标准主要有:①双膈顶上升;②单侧和(或)双侧肺底亚段性肺不张;③"心脏淹没征";④心脏旋转,心尖左下延伸;⑤两肺下野纹理聚集;⑥上纵隔影增宽。结果 精神病组5年后肺叶面积明显小于5年前,有显著性差异(t=6.7099,P<0.01)。与对照组比较,精神病组初次胸片示肺叶面积增大(t=2.025,P<0.05)。而末次胸片示肺叶面积明显小于对照组(t=5.512,P<0.01)。双膈顶上升37例,单侧和(或)双侧肺底亚段性肺不张19例,"心脏淹没征"24例,心脏旋转、心尖左下延伸19例,两肺下野纹理聚集37例,上纵隔影增宽17例。结论 慢性精神分裂症患者胸部形态学和病理学改变,其发生与抗精神病药物的不良作用和内分泌紊乱相关。
Abstract:
Objective To research the symptom of breast X-ray of chronic schizophrenia and the influence of its clinical features. Methods Take 50 patients who have been under treatment in our hospital for over 5 years as sample of psychotic group and same number of healthy people as control group. Analyze their X-ray films, using statistics to deal with their lung area of both before and after 5 years. Evaluation Criteria of X-ray:① Double layer rise;② Single or double lung base subsegmental atelectasis;③ Heart drown;④ Heart turing with the heart apex extending to the left;⑤The double lung bottom have gathering stripes;⑥The upper layer have wider shadow. Results The lung lobes of the patient group become smaller than they were 5 years ago. Data show great difference between two years(t=6.7099, P<0.01). The lung lobes of psychotic group become bigger than the control group in the first X-ray films (t=2.025, P<0.05), but smaller in the last X-ray films(t=5.512, P<0.01). Among them, 37 cases show double layer rise; 19 cases show single or double lung base subsegmental atelectasis; 24 cases show heart drown; 19 cases show heart turing and heart apex extending to the left; 37 cases show double lung bottom gathering stripes; 17 cases show wider shadow. Conclusion Morphology and pathology changes of schizophrenia patients are related to the side effect of anti-schizophrenia medicine and endocrine disorders.

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备注/Memo

备注/Memo:
收稿日期:2008-04-04。
通讯作者:党连荣(E-mail:tsdlr@126.com)
更新日期/Last Update: 1900-01-01