Nature of changes of multislice computed tomography of t chest in patients admitted to hospital ambulance
Adstract. We present retrospective analysis of protocols of multislice computed tomography of thoracic organs of 432 patients on admission for acute care in general hospitals surveyed, the reason for which could be as a disease, and differential diagnostic examination. Assess the condition of the lung tissue, bronchi, the roots of lungs, pulmonary arteries, lymph nodes, pleura, presence or absence of focal shadows. We found the increase incidence of broncho-pulmonary pathology in older age groups. Emphysema on multislice computed tomography was found in 38,3%, changes in bronchial wall in 66,4% of patients. Almost all surveyed revealed patchy shadows (including a combination -57%), some of them turned out to be a random finding. One third of patients had hilar lymphadenopathy. A clear correlation between age and the presence of focal shadows, the proportion of middle-aged patients with focal changes significantly higher (r=0,305; p<0,05), single focal shadows were dense, multiple focal shadows - fresh, requiring differential diagnosis infectious and noninfectious diseases. In view of the data, the use of multislice computed tomography of thoracic organs in the early stages of the diagnostic process can detect multiple changes which set in patients of different age groups in a timely manner will help to put the diagnosis and determine the tactics. Generally, timely and correct diagnosis of lung diseases is an integral part of effective therapy.