CHANGES IN RIB CAGE GEOMETRY DURING CHILDHOOD
CHANGES IN RIB CAGE GEOMETRY DURING CHILDHOOD
复制标题
DOI：
10.1136/thx.39.8.624
复制
发表时间：
1984-01-01
期刊：
影响因子：
10
通讯作者：
HELMS, P
中科院分区：
文献类型：
--
作者：
OPENSHAW, P;EDWARDS, S;HELMS, P
年龄相关的变化，肋骨架几何形状的胸部X光片从38个人年龄从1个月。对28例3个月至31岁的个体进行了计算机断层扫描（CT）。到18岁。对于轻微呼吸道症状或发热，进行胸部X线片检查，仅使用未显示异常的胶片。在进行实体瘤分期的儿童中进行CT扫描，在这些儿童中没有发现胸内沉积物。在婴儿和非常年幼的儿童中，发现肋骨更水平，胸骨锁骨头和胸骨穹隆高于年龄较大的儿童和年轻人。大多数这些变化都是在出生后的头2年观察到的，到2岁时接近成年模式。同样，胸部横截面的形状也从婴儿时期的圆形变成了同样年龄的成年人的形状。在婴儿期和幼儿期观察到的肋骨结构降低了胸廓扩张的可能性，并可能导致在非常年幼的儿童中发现的呼吸问题的频率。
Age related changes in rib cage geometry were found from measurements made on chest radiographs from 38 individuals aged from 1 mo. to 31 yr and on computed tomography (CT) scans in another 28 individuals, aged from 3 mo. to 18 yr. Chest radiographs were taken for minor respiratory symptoms or fever and only films showing no abnormality were used. CT scans were obtained in children undergoing staging for solid tumors in whom no intrathoracic deposits were found. In infants and very young children the ribs were found to be more horizontal and the sternal clavicular heads and diaphragmatic domes higher than in older children and young adults. Most of these changes were observed in the first 2 yr of life, with something close to the adult pattern by the age of 2 yr. Similarly cross sectional chest shape changed from the rounded infantile form to the more adult form by the same age. The configuration of the ribs observed in infancy and early childhood reduces the potential for thoracic expansion and may contribute to the frequency of respiratory problems found in the very young.