Abstract:
:Radiological explorations of the thorax raise a certain number of risks for the mother and infant which should be well recognized by the pneumologist. Irradiation is the major risk and can be evaluated in comparison with other risks of radiation. We recall the dosimetric system based on the effective dose expressed in Sievert (Sv). The risks of irradiation are described. The dangers related to contrast agents are discussed. Each type of thoracic imaging is then considered from the standpoint of the technique, risks involved and means of radioprotection. Precise indications for each technique are given in detail for pregnant women. We review rapidly the physiological and pathological signs and symptoms observed during pregnancy and propose a practical attitude for ordering radiographic explorations.
journal_name
Rev Pneumol Clinjournal_title
Revue de pneumologie cliniqueauthors
Kadi N,Khalil A,Mazeyrat JP,Tassart M,Bazot M,Carette MFsubject
Has Abstractpub_date
1999-10-01 00:00:00pages
312-24issue
5eissn
0761-8417issn
1776-2561pii
MDOI-RP-11-1999-55-5-0761-8417-101019-ART79journal_volume
55pub_type
杂志文章,评审abstract::The plathypnea orthodeoxia syndrome is a rare condition that is characterized by dyspnea and hypoxia that occurs in the upright position and improves with recumbency. The diagnostic is often made tardively and requires the combination of two components: a mechanical one (for example a patent foramen ovale) and a kinet...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2016.12.007
更新日期:2017-04-01 00:00:00
abstract::We report two cases of pulmonary actinomycosis in two young men. These observations are an opportunity to review the usual difficulties of diagnosis and the clinical, radiological and therapeutic characteristics in patients with this rare disease. Pulmonary actinomycosis often appears in a debilitated patient with sig...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/s0761-8417(04)72150-1
更新日期:2004-12-01 00:00:00
abstract::Mediastinal hemangiomas are rare tumours occurring more often in children and young adults. A new case is reported in a 21 years old male who had an anterior mediastinal mass detected on a routine chest roentgenogram. Pre-operative investigations including CT, venous digital angiography, MRI did not aid in the right d...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1990-01-01 00:00:00
abstract::Approximately 30% of small-cell bronchogenic cancers are associated with hypersecretion of ACTH. However, in most cases, there is no clinical expression. When a paraneoplastic Cushing syndrome occurs, it is an independent factor of poor prognosis. Management is extremely complex. Treatment must be based on high dose i...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1999-04-01 00:00:00
abstract::Among the epithelial tumours of the thymus, thymic carcinomas are rare, involving more aggressive locoregional behaviour and a poor prognosis. More than one-third of cases present lymph node metastasis during an evaluation of the extension of a primitive mediastinal tumour of thymic origin. The authors report an unusu...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2009.10.002
更新日期:2010-10-01 00:00:00
abstract::Lung transplantation is proposed for young patients with a severe disease that can be expected to be fatal within less than two or three years. The main indications are chronic respiratory failure induced by chronic obstructive lung disease, cystic fibrosis or pulmonary fibrosis, and severe primary or secondary (Eisen...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:2000-11-01 00:00:00
abstract::Complications observed after lung transplantation are well described for the different indications. Certain complications are specifically observed in patients with cystic fibrosis who have reached the stage of major respiratory failure. The most specific complications result from digestive tract manifestations of the...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:2002-12-01 00:00:00
abstract::The authors describe a case of catamenial pneumothorax with diaphragmatic lacerations and partial liver herniation. It's a rare presentation of catamenial pneunmothorax. We analyse the diagnostic and surgical therapeutic. ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2010.07.005
更新日期:2010-09-01 00:00:00
abstract::The lymphatic vascular system is widely developed among vertebrates. Lymphatic vessels provide the interstitial fluid (20% of the body weight) drainage through interstitial prelymphatic channels, capillaries, precollectors and collectors flowing into the venous blood. Endothelial cells of capillaries are overlapped an...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:10.1016/j.pneumo.2013.01.005
更新日期:2013-04-01 00:00:00
abstract::Microscopic polyangeitis is a necrosing vascularitis with pulmonary and renal tropism. Localized in the lung, microscopic polyangeitis leads to intra-alveolar hemorrhage. We report our observations in two patients who presented with concomitant bronchectasia. The parallel course of these two conditions suggests a poss...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract::Syndrome Doege-Potter is a paraneoplastic syndrome in which hypoglycemia is the result of tumors producing insulin growth factor-like (IGF-II) it is most often solitary fibrous tumor of the pleura (TFSP). These are rare and may be discovered incidentally, during non-specific respiratory symptoms or during hypoglycemia...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2011.09.003
更新日期:2012-06-01 00:00:00
abstract::Four patients in status asthmaticus and with alveolar hypoventilation were given a helium-oxygen (He-O2) mixture to breathe during 4 hours. Clinical improvement and return to normal of arterial blood gas levels were rapid and dramatic in all patients. The He-O2 mixture, which is a low density gas, causes a reduction i...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::Surgery is the most effective treatment of lung cancer provided that there is complete resection. Even though the results in the early stages of small cell lung cancers (SCLC) are encouraging, many oncologists still consider SCLC a contra-indication. The authors report their experience. They retrospectively reviewed t...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2009.02.001
更新日期:2009-06-01 00:00:00
abstract::When small and inextensive these tumours are rare and often surgical; when extensive they are usually unresectable. Owing to the late development of dyspnoea and to the frequent normality of thoracic radiography the endoscopic diagnosis is seldom made at an early stage, which explains why these tumours are often regar...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Acute chest syndrome is a frequent complication of sickle cell disease. This syndrome is characterized by recent infiltrate on chest X-ray with chest pain or fever or dyspnea. We report the case of a 26-year-old man in whom an acute chest syndrome with fat embolism was the inaugural sign of sickle cell disease. This r...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/s0761-8417(06)75439-6
更新日期:2006-06-01 00:00:00
abstract::Few studies have described pulmonary non-infectious diseases (PNID) in patients with common variable immunodeficiency (CVID). Indeed the most frequent complications in these patients are infectious. The aim of our study is to analyze the characteristics of PNID in a retrospective study of patients with CVID of two pne...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2011.06.005
更新日期:2011-09-01 00:00:00
abstract::We present 4 cases of endobronchial lipomas observed in our department over the last fifteen years. Histological diagnosis was obtained in all cases after endobronchoscopy and biopsy. Endobronchial exeresis was possible in one patient, lobectomy was required in a second. For the other two patients, surgery was not per...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::The Von Recklinghausen disease is a genetic hereditary neurofibromatosis. It causes neurofibroma, axillary and inguinal lentigines, and café-au-lait spots in the skin. It may affect the lung in 5 to 20% of cases, causing neurofibroma, infiltrative and cystic lesions, emphysematous or bubble injury leading to a chronic...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2011.08.001
更新日期:2012-06-01 00:00:00
abstract::Mucormycosis is a rare, devastating, opportunistic fungal infection, which occurs principally in some particular conditions, specially in non-controlled diabetic patients, notably during keratoacidosis. We report two cases in 62 and 72 year-old diabetic women. In both cases, histologic examination of endobronchial bio...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/s0761-8417(06)75412-8
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Asthma guidelines recommend combining inhaled corticosteroids and long-acting inhaled B2-agonists when inhaled corticosteroids alone are insufficient to achieve good control of the disease. OBJECTIVES:To determine in routine practice whether the fixed-dose fluticasone-salmeterol combination (FP/s) is as lea...
journal_title:Revue de pneumologie clinique
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2003-06-01 00:00:00
abstract::The impact of nosocomial tuberculosis remains poorly known. There is a real risk that is relatively higher when the probability of community acquisition declines. Diagnosis is difficult due to the natural history of tuberculosis infection so that most cases of nosocomial contamination result in infection without disea...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:2001-04-01 00:00:00
abstract::Melioidosis is most frequently encountered in pulmonary localization. Melioidosis is an infectious disease caused by Burkholderia pseudomallei first described by Whitmore in 1912 in Burma. B. pseudomallei is a Gram negative rod belonging to the Pseudomonadaceae family. Soil and water are the natural reservoirs for the...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1998-12-01 00:00:00
abstract::Pulmonary hypertension is a serous condition which, after a long history as an orphan disease, has raised renewed interest due to the development of efficacious therapeutic options including lung transplantation and continuous infusion of prostacycline. Bilateral endarteriectomy of the pulmonary arteries is another po...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:10.1016/s0761-8417(04)73480-x
更新日期:2004-04-01 00:00:00
abstract::We measured with a laser velocimeter granulometric deposit of an aerosol anti-infectious agent, fusafungin, administered with a controlled inhalator. Total drug deposit was determined on the basis of a granulometric spectrum of the polydispered aerosol (mass mean aerodynamic diameter (MMAD) = 2.8 +/- 1.7 microns) and ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::Breathlessness induced by external resistances (diaphragms with orifice size of 20, 15, 10, 7.5 and 5 mm) introduced in the ventilatory circuit of a spirometer and the corresponding parameters of a maximal flow-volume loop have been studied. 10 healthy subjects (5 men, 5 women), free from any acute or chronic cardiore...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::The presence of non-caseating epitheloid cell granulomas in biopsy material is still one of the most important factors in establishing the diagnosis of sarcoidosis. Since Carlens introduced mediastinoscopy as a diagnostic procedure in these cases the use of liver biopsy or bronchoscopic biopsy has decreased because of...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::Forty-five bronchoalveolar lavages (BAL) were performed in Brazzaville in AIDS patients who did not expectorate acid- and alcohol-resistant bacilli (AARB). All patients presented with respiratory symptoms (cough, dyspnoea or chest pain), and all but 6 of them had abnormal radiography of the chest. Four cases of pneumo...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract::The diagnosis of pulmonary infection due to Mycobacterium xenopi was retained in a 48-year-old immunocompetent patient. The lesion was isolated in a peripheral region and was well limited. Exclusive surgical treatment was undertaken. Cure was complete without recurrence at three years. This case illustrates that in ce...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/s0761-8417(05)84822-9
更新日期:2005-09-01 00:00:00
abstract::Small cell lung cancers were a clinical entity of severe prognosis until the nineteen eighties, time at which their frequent chemosensitivity was demonstrated. Around 90% of objective responses, in the case of complete response, lead to remission. Although still rare, remission depends on the ability of the treatment ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:2004-11-01 00:00:00
abstract::The authors report a case of Pneumocystis carinii pneumonia simulating tuberculosis. Predominant upper lobes involvement is rarely seen but should be considered in immunocompromised patients. ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00