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本文分析了青海省78例Ⅲ期矽肺(煤矽肺)胸片。结果表明,Ⅲ期矽肺和Ⅲ期煤矽肺的X线表现是融合块形成,肺纹理变形、减少甚至消失,肺门紊乱和上移,普遍肺气肿以及明显胸膜增厚等。其中作者着重总结融合块这一特异性征象的特点,并讨论了Ⅲ期矽肺合并结核的X线诊断要点和Ⅲ期矽肺与Ⅲ煤期矽肺X线表现之差异。最后,作者指出青海省高原地区Ⅲ期矽肺(煤矽肺)X线征象与平原地区报道结果基本一致。
This article analyzes 78 cases of Qinghai Province Ⅲ stage silicosis (coal silicosis) chest radiograph. The results showed that the X-ray manifestations of stage Ⅲ silicosis and stage Ⅲ coal silicosis were the formation of fusion blocks, the deformation of the lungs, the reduction or even disappearance, the hilar disturbance and uplift, the general emphysema and the obvious pleural thickening. Among them, the author mainly summarizes the characteristics of fusion block, and discusses the key points of X-ray diagnosis of stage Ⅲ silicosis complicated with tuberculosis and the difference of silicosis X-ray between stage Ⅲ and Ⅲ. Finally, the author points out that the X-ray findings of stage Ⅲ silicosis (coal silicosis) in Qinghai Plateau are consistent with those reported in plain areas.