Transcription of CT - jscm.org
1 CT 21 4 30 CT CT " %! "# % ( )*+ (*+ )* +, CT . - 01 /0 2 1 . 2 4 ; => % 4 0% @A 5B CDED ; G = JK (*+ )* L @A NG ED CD O )* PQ@ S S BZ[ = ( ] = D^ E D^ G ` 4 %! b" I 10JK25 dQ6 Me19 O fPg 4g 1) ij)k T ld E m n W X Y 4" pZ " -Z " q1 JK 1 r[ \s; uv > Y "w] xQrz { |w ` a ~ b `mc = CT w w P d CT A S " fX i 2 @A @ ) W fmno " S q " m r wCT s K " t u " t v 2 G x y X y f1 ld z { G w110 | 9|( ) fX i @A CT @A BZw " } 2) CT 2 G ~ " x " W% 3) 4) @A 5) f A CT 2 ~ " S " X y rz 2 f L = S6) " CT [ " f1 CT ~ G ) "` S 7, 8)]}
2 Q = = CTD^ ~ (k z CT ld (k z { ~ K CT ~ S W " CT fX i 5 } ` W u mw[ %! CT 2 / [ 44 ^m Z II. HRCT CT . w| -Z "# %(secondary lobulus) " ( 4" %(lobulus) 0%(acinus) [ g . m Miller9) w"# % CT .. )/ ( 160 0023) * 6 7 1 TEL: 03 3342 6111 FAX: 03 5381 6651E-mail: E mno 2009 E mno Vol. 19 No. 2 10) Miller 1 " % *+ 01 2 * 3 2 5 672 5 9 ; = >2 5 "?@ @ ; > C D ? Miller 3F 24 FGH 2 ? IJD * K Miller?+ * N *?O * P >ST @ CTUV WX PKD P =YZ [\ Reid11, 12) D Reid " > 5] >_ 2 5 ` e fg h + Reid 5] ij 5 2 5 ` ?]]
3 L n o D e nC D` s * v nC @ * wx 11) 02 Wy z@{| }K 1 2mm * ` ? 3 2 5D * Reid 3 5F 2 3 2 5 ? ? Miller * \ ? D PQ ? Miller = \ ? cm* D * s Reid = \ 10 mm* D CTUVD D\ ; mm * " 9 mm D 03 `W CT HRCT D 01. Miller "D ? D [[ 2 \ D > [[ \ D 9 > 02. Reid 5] D > ; v n e ` ; e n e ` ? v n e ` * 3 2 5D ` 0D A B o ;` e n e ` D 10 > CTUVD CTUVD Vol. 19 No. 2 mm HRCT mm 10) 1mm mm HRCT $% '( ) HRCT * +, Q !]]]
4 % * " 2 4 % ' 6 7 ( +% 9 * : *; HRCT = ,> ? ,A CTB C /D > 01* 2F 4A 5 01* 6H01* 7 2F 4A I%J> Q L 8 7 YM4 2F >N A 0 1* 9 P +6 : S = J+ 01* T % 2F X% Y +Reid =Z [ % 1 \] 7 6H01* ^ A % ` Y +Miller =Z e @% III. g 6 B h0 6 1 h N Streptococcus pneumoniae( ),Hae-mophilus influenzae(6 ) >Staphylococcus aureus( ),Klebsiella pneu-moniae( ),Moraxella catarrhalis( C 13, 14) Streptococcus pneumoniae 6 6kh 6 Klebsiella pneumoniae 6 lm o q 6 0 6 D 6 F ' 7) h0 6 r > B 1 h I J K) Lu0 6 M S2,S6,S10 vF 6 B w % 1 T 4 `+ HRCT Q7 y0zL { ` 0 6 D ~) %J> +15, 16) = S r B ] T% 6 : 0 6 0 6 0 6 ' 6 0 6 V > + 1M X +\]J J+ =Z * X ?}
5 HRCT B S N 6 1 T [ = \] h0 6 0 6 6 >` > ` B C >' + 1. 0 6 :a u = ` +1 h e 6 0@ ( g 1 h i S e >v k j 6 k 0 m +, n o 9 r Kohn Lambert q r P > st u > % J+ w]> x 02y 7 w] {` r 0 6 CTB X o X D 6H 6 q A 4 X o X { CT J> +4 e L 6H 4 q A L 6H C CT q = =Z % > *a * 9 > HRCT mm 11 * / \ ( Vol. 19 No. 2 CT !))}}
6 " " $ % " ,-. ,- 01 % 2"3 56 8 = 56 (air bronchogram) A B D E% bulging fissure sign H I 8 = J J " N (Swiss cheese appear-ance)% N PQ " JR S$T "UV WX %[%& 2. 56 ] J "^_ 56 a 56 c e V Q 3 a 56 8 g h i ",j J Q k V l %^_ n Q I 56 a 56 56 oJ " 0%1 qJk sJ$T k V ,- % 56 J,-% 2 v " xy z a 56 8 QJ | g h Q 3 %7 ~ CTR = V ,- . J " 5 56 oJ o " s^Jk CT ,- , $ V qJk ^ ? kB8J air bronchogram kB8J E %.
7 J 56 % 2 0J H " H 56. 0 y 0J ] J yL0 56 56 QJ J z O 3. Q H v J V Q J V Q % S] v io J? T . 56. %^_ W J X P J %v Q \J %,j ^ Q 4. CT S Jair bronchogram A _ J V 5. h HRCT , 56 ,- J $ V A 0J CTR CTR abc d Vol. 19 No. 2 6 ! # %& ( ) +, )- ( !" 1#234$52 % % 7( ' ( ): + feeding ves-sel sign - < = > @ (pneumatocele) , C D1E :FG :F I checkvalveJK LM NO 2NO I IV 3 Q C(atypical pneumonia) b-R UVW,5 6X Y Z [ % RU89 ] , _L ( , a C Mycoplasma pneumo-niae C > d Rf> C Chlamydophilapneumoniae C Rg R C > @ C ] 7( Legionellapneumophila C l R C b-R UVW,5 6X RU89 ] , _L ( - B o7M Fq rst u C H R 3 Q C % 1) u C ] , x CT JK y } > d Rf> C~ o CT M Rg R C l R C - x N % < o M Q F l R C 3 Q C - % 1.)))
8 Mycoplasma pneumoniae lipoprotein ( R , S U W Y R Z S W ] ^ ` S W ] ^ :F b c 8 C ] So7 S + C ] :F): G C R o7 :F C % > d Rf> C ( , f g h g f g %O ( 7(% f g , ` ( 17) f g , lipoprotein > l Toll-like receptors (TLRs) h g 18 20) 6. CT l o & ( ! O ' q 7( 7.> d Rf> C HRCT s t s u$52 $2 & ( o v y z{| ~ o v y z{| ~ FB s Vol. 19 No. 2 X CT CT ! ! # % '( * /0 2 3 4 5 7 Reid 2 : ?@AB C E 4 G 4 H7 : IJ 6 9L 7, 8, 21) MNO PMNO !)))))}}
9 S 7 9L 7, 8, 21) H8 TJ !U ! X # I YZ * : ! ! '( [ \] C _ C 5 8L 7 8L 7, 8, 21) 2 MN \] MN gJh \] 2Q * AB C CA l m 82 ,73 o p 22) 2. Chlamydophila pneumoniae rChlamydia pneu-moniae J s t U v * xyz 13, 14) .{ * * 1 xyz COPD 5 ! ! 8 CT ! !: S 2 3 88 * 8) H9 C _ C \] < ! = * ? @ 8) xyz COPD A ] @ # 25 CA 33 3. Legionella pneumophila G G4 2 A 2 5mm Ht t @ y L y U II{ O s !}}
10 '( # yz C di#use alveolar dam-age (DAD) J 1 23) MN H8. * HRCT G @ MNO PMNO J ! S S MN C _ C S H9. xyz 66 CT UM 2 3 S ! = S V 8 W CT [ v CT [ v [ Vol. 19 No. 2 ! # $ # ! ' )10 Q0 5 35 9:24 (69 ) ! <= $ 9 $ > # ? ! ' A C DE # F ! 8 (22 ) HI J 2 KLM O 1 $ > V P CT K S T ' V W X X Y# [\ ^_! ab e f h # $ $ k9 l CT CQ0 m ? n_ oF Q0b _! r h K t' 1) uvLXwuvLxy m { |} w 2007.]]]]
