rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2015-0-4-14-21rentrad-77Research ArticleЛЕКЦИИLЕCTURESМетодические аспекты рентгенологической оценки легочной гипертензииRadiographic assessment of pulmonary hypertension: Methodical aspectsКоробковаИ. З.KorobkovaI. K.

к. м. н., заведующая рентгеновским отделением РКНПК, доцент кафедры лучевой диагностики, лучевой терапии и медицинской физики РМАПО

MD, PhD, Chief of X-ray Department of RCRPC, Associate Professor of Department of Radiation Diagnosis, Radiotherapy and Medical Physics of RMAPE

ЛазуткинаВ. К.LazutkinaV. K.

к. м. н., врач-рентгенолог

MD, PhD, Radiologist

НизовцоваЛ. А.NizovtsovaL. A.

д. м. н., профессор кафедры лучевой диагностики, лучевой терапии и медицинской физики

MD, PhD, DSc, Professor of Department of Radiation Diagnosis,Radiotherapy and Medical Physics

РидэнТ. В.RidenT. V.

д. м. н., профессор кафедры лучевой диагностики, лучевой терапии и медицинской физики

MD, PhD, DSc, Professor of Department of Radiation Diagnosis,Radiotherapy and Medical Physics

НИИ клинической кардиологии им. А.Л. Мясникова ФГБУ «Российский кардиологический научно-производственный комплекс» Министерства здравоохранения РФ, ГБОУ ДПО «Российская медицинская академия последипломного образования» Министерства здравоохранения РФРоссияA.L. Myasnikov Research Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF, Russian Medical Academy of Postgraduate Education, Ministry of Health of the RFRussian FederationНИИ клинической кардиологии им. А.Л. Мясникова ФГБУ «Российский кардиологический научно-производственный комплекс» Министерства здравоохранения РФРоссияA.L. Myasnikov Research Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RFRussian FederationГБОУ ДПО «Российская медицинская академия последипломного образования» Министерства здравоохранения РФРоссияRussian Medical Academy of Postgraduate Education, Ministry of Health of the RFRussian Federation201504032016044653Copyright © Коробкова И.З., Лазуткина В.К., Низовцова Л.А., Ридэн Т.В., 20162016Коробкова И.З., Лазуткина В.К., Низовцова Л.А., Ридэн Т.В.Korobkova I.K., Lazutkina V.K., Nizovtsova L.A., Riden T.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/77

Легочная гипертензия – грозное осложнение ряда заболеваний, сопровождающееся высокой смертностью и значительно ухудшающее качество жизни больного. Своевременное выявление легочной гипертензии позволяет вовремя начать лечение и тем самым улучшить прогноз для пациента. Рентгенография органов грудной клетки – наиболее часто назначаемое лучевое исследование, которое выполняется по различным поводам. Информированность врачей о рентгенологических проявлениях легочной гипертензии может способствовать более раннему выявлению этой тяжелой патологии. Благодаря естественной контрастности отражаемых структур рентгенограммагрудной клетки дает уникальную возможность оценивать сосуды малого круга кровообращения, выявлять признаки легочной гипертензии, оценивать динамику течения заболевания.В статье подробно изложена методика анализа, нормальная рентгеноанатомия сосудов малого круга кровообращения, приведена современная классификация легочной гипертензии, ее рентгеносемиотика.

Pulmonary hypertension is a menacing complication of a number of diseases, which is responsible for high mortality rates and considerably poorer quality of life in a patient. The timely detection for pulmonary hypertension allows timely initiation of treatment, thus improvement in prognosis in the patient. Chest X-ray is the most commonly used  radiographic technique for various causes. Physicians’ awareness about the radiographic manifestations of pulmonary hypertension may contribute to the earlier detection of this severe disease. Owing to the natural contrast of reflected structures, a chest X-ray film gives a unique opportunity to assess pulmonary circulation vessels, to reveal the signs ofpulmonary hypertension, and to estimate trends in the course of the disease.The paper details a procedure for analysis and the normal radiographic anatomy of pulmonary circulation vessels, gives the present classification of pulmonary hypertension, and sets forth its X-ray semiotics.

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The authors declare that there are no conflicts of interest present.