摘要
目的提高对不典型肺底积液的影像诊断与鉴别诊断。方法回顾性分析经临床X线、B超及CT检查确诊的肺底积液150例,从中收集50例不典型肺底积液资料。结果X线表现为:(1)站立后前位一侧横膈影升高形成"假膈顶",可随体位改变而改变;(2)肺血管影于膈处突然终止或膈上肺纹移位呈水平走行;(3)心膈角变钝(即心淹征)等征象。结论X线检查对发现不典型肺底积液有一定价值,结合超声、CT检查诊断更准确可靠。
Objective To improve the imaging diagnosis and differential diagnosis of atypical hydrops at base lung. Methods Retrospectively analyzed 150 cases with hydrops at base lung which were definite by X-ray examination, type-B ultrasonic, and CT detection. And 50 out of 150 eases＇ differential data were collected. Results The x-ray manifestations were shown as follows. It can be found that with erectus dorsaventral position one side of disphragmatic muscle shadow can raise and form false diaphragmatic dome which altered according to the body position, Pneumoangiogram shadow unexpectedly ended at diaphragm or above diaphragm the pulmonary markings shifted and shown a level Courser. The cardiodiaphragmatic angle became blunting. Conclusion X-ray examination has a certain value on the discovery of atypical hydrops at base lung, and combined with ultrasound and CT detection the diagnosis of atypical hydrops at base lung is accurate and reliable.
出处
《当代医学》
2009年第21期2-4,共3页
Contemporary Medicine
关键词
不典型肺底积液
X线
B超
CT
诊断与鉴别诊断
atypical hydrops at base lung
x-ray
type-B ultrasonic
computerized tomography
diagnosis and differential diagnosis
