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Обзорная рентгенография грудной клетки
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Обзорная рентгенография грудной клетки

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by admin07.11.2015
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Обзорная представляет собой комплексное исследование срединной области опорно-двигательного аппарата, позволяющее получить общую картину о состоянии органов и костной ткани. Основное отличие от прицельного снимка состоит именно в возможности получения общей картины состояния грудной полости. При прицельном же снимке осмотр направлен на отдельные локализованные участки.

Случаи назначения

Данный вид рентгена может назначаться при подозрении на переломы или трещины одного или множества ребер (3 и более), пневмотораксе (осложнение перелома одного или двух ребер). При множественных переломах ребер обзорное исследование проводится и при отсутствии пневмоторакса, так как это крайне серьезная травма, которая может повлечь наступление осложнений, опасных для жизни. Обзорный рентген осуществляется в случаях наличия сочетанной травмы, потому что признаки переломов ребер на фоне общих повреждений внутренних органов может не проявляться.

Также данный вид обследования применяется в ходе лечения других болезней для того, чтобы контролировать общее состояние легких, возможность прогрессирования пневмонии и гемоторакса. Поэтому данный вид лечения назначается как при травмирующих заболеваниях, так и заболеваниях хронического и патологического характера.

Противопоказания к процедуре

Не назначаться, либо заменяться альтернативным видом обследования рентгенография органов может в случаях:

1) (воздействие прямых ионизирующих лучей может отрицательно сказаться как на общей динамике развития плода, так и вызвать легкую степень лучевой болезни матери и ребенка);

2) кормления грудью (негативные факторы рентгена способны прекратить регулярное выделение молочными железами молока);

3) тяжелого состояния пациента, вызванного как травмой, так и иными заболеваниями.

Ход обследования

После осуществления общего осмотра врач выписывает направление, с которым направляет пациента в рентгенографический кабинет. Там человеку необходимо раздеться до пояса, после чего его укладывают на специальный стол.

Данный вид исследование проводится только в прямой проекции, что вызвано необходимостью получения комплексного изображение грудной клетки без каких-либо помех. Итоговый снимок должен содержать изображение ребер, органов и полости груди. По усмотрению лаборанта и в соответствии с состоянием больного рентген осуществляется сидя, стоя или лежа. Во время осуществления снимка необходимо несколько раз глубоко вздохнуть и выдохнуть, что осуществляется по команде лаборанта. После больной одевается и направляется к своему лечащему врачу.

Результаты рентгенографии

Врач-травматолог в течении 10-15 минут получает готовый снимок и производит фиксацию деталей изображения в истории болезни. В случае недостаточности данных пациенту назначается повторная рентгенография, либо МРТ и КТ. Курс лечения будет напрямую зависеть от заболевания (повреждения ребер, патология, повреждения органов) и может включать в себя: медикаментозное лечение, использование ортопедических фиксирующих средств, помещение больного на дневной стационар, прохождение врачебных процедур. Также по решению специалиста пациент может направиться на лечение в домашних условия при регулярных еженедельных осмотрах у лечащего врача.

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