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儿童肺门淋巴结肿大比较常见,尤其多见于幼儿、学龄前儿童。对此,临床和放射科医生在诊断、治疗及病因认识方面常有不同意见。只有正确认识儿童肺门淋巴结肿大的病因、发生机理,才能进行有效的治疗和估计预后。本人认为,在基层医院诊治儿童肺门淋巴结肿大,应注意以下几个问题。 1.防止假阳性“肺门淋巴结肿大”一般经放射科医生做X线胸透或摄片而诊断。小儿胸部的X线投照技术要求严格,可因呼吸相不同,体位不正确或身体偏扭(哪怕是微小的偏扭)都可引起纵隔和肺门部
Hilar lymph nodes in children is more common, especially prevalent in children, preschool children. In this regard, clinical and radiologists often have different opinions on diagnosis, treatment and etiology. Only by correctly understanding the etiology and mechanism of hilar lymphadenopathy in children can effective treatment and prognosis be estimated. In my opinion, in the primary hospital diagnosis and treatment of children with hilar lymph nodes, should pay attention to the following questions. 1. To prevent false-positive “Hilar lymph nodes” Radiologists generally do X-ray or chest radiography and diagnosis. Pediatric chest X-ray projection technology demanding, can be due to different respiratory phase, body position is not correct or partial torsion (even slight deviation) can cause mediastinal and hilar