摘要
目的观察床旁胸片中急性心肌梗死患者并发肺水肿的影像特点,评价其诊断价值。方法回顾分析103例急性心肌梗死患者床旁胸片表现及临床资料。结果34例(33%)有肺水肿影像表现,其中肺纹理模糊和肺门影增大、模糊34例(100%),间隔线11例(32.3%),支气管袖口征8例(23.5%),胸膜下水肿7例(20.6%),少量胸腔积液6例(17.6%)。结论床旁胸片是诊断肺水肿重要而有效的检查手段。肺纹理模糊和肺门影增大、模糊为肺水肿在床旁胸片中的重要征象。
Objective To observe the radiographic features and clinical application of portable chest film in patients with acute myocardial infarction （AMI） complicated by pulmonary edema. Methods The portable chest radiographic findings and the associated clinical records of 103 patients with AMI were reviewed retrospectively. Results The chest x-ray film was interpreted as pulmonary edema in 34 patients with AMI according to the findings including poor definition of lung markings and hilar haze （34/34, 100%）, septal lines （11/34, 32.3%）, peribronchial cuffs （8/34, 23.5%） , subpleural edema （7/34, 20.6%） and slight pleural effusions （6/34, 17.6%）. Conclusion The portable chest radiography is an important and effective method for detecting the presence of pulmonary edema. Poor definition of lung markings and hilar haze are the most common and important radiographic features of pulmonary edema.
出处
《中国医学影像技术》
CSCD
北大核心
2008年第11期1792-1794,共3页
Chinese Journal of Medical Imaging Technology
关键词
X线
肺水肿
心肌梗死
X-rays
Pulmonary edema
Myocardial infraction
