chest X-ray
Perspective is the direct examination of the patient between the X-ray tube and the screen. Can be fully dynamic and direct observation, such as heart beats, diaphragm movements, gastrointestinal motility, joint activities and so on. It can also be used for X-ray angiography in locating observation, gastrointestinal angiography, and indication diagnosis and treatment, such as cardiac catheterization, fracture reduction, and foreign body removal. The most frequently used part of the fluoroscopy is the chest, examining the lungs, pleura, mediastinum, and heart and large vessel lesions. It can also be used for the examination of bones, soft tissues, foreign bodies in body cavities, gases, stones, and contraceptive rings. Basic Information Specialist Category: Respiratory Examination Category: X-ray Applicable gender: whether men and women apply fasting: not fasting Reminder: Subjects must remove all items that can cause shadows on the chest, such as applied ointments, footsteps, necklaces, items in chest pockets, and women's hair should be high. Normal value Cardiopulmonary hernia is normal in size and shape. Or the chest symmetry, the lungs have a clear texture, the lung door shadow structure is normal, the heart shadow is not large, the mediastinum is centered, the bilateral side surfaces are smooth, the bilateral rib angles are sharp, and the upper ribs are not abnormal. Clinical significance Thoracic fluoroscopy is adapted to the auxiliary diagnosis of the following diseases: Chronic cough; 2. Those who do not retreat or have low fever for a long time; 3. Those with symptoms such as hemoptysis, chest tightness, difficulty breathing, chest pain; 4. Those who are thin and weak; 5. Diabetic patients; 6. Close contact with TB patients; 7. Suspected of having a heart disease; 8. Regular review of patients with heart disease; 9. Observe the activity of the diaphragm. Precautions 1. When the dark room is in perspective, the fluoroscopy room should be tightly shielded to improve the clarity of the screen. 2. Before fluoroscopy, you should understand the medical history and master the inspection focus. 3. When checking, the patient should be as close as possible to the screen to reduce image magnification and distortion. 4. Perspective should use intermittent exposure method, the fluoroscopy time is generally no more than 2min. 5. When fluoroscopy needs to move the patient's breast and pectoralis major muscle, the patient should be informed beforehand, and the patient's consent can be obtained before implementation. 6. Pay attention to the X-ray protection work. Inspection process The subject should stand upright during the examination, and the chest should be close to the fluorescent screen. When examining the lateral position, the subject's arms are lifted and the upper arm is close to the root of the ear. The patient should take a deep breath during the examination. When a critically ill or elderly or infirm can't stand, you can do a supine or sitting examination. Not suitable for the crowd 1. Patients with radiological diseases. 2. Pregnant women. Adverse reactions and risks This test generally has no adverse reactions, but there is radiation, and it is not suitable for the filming room for a long time.
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