胸膜腔造影在特发性气胸诊断中的应用  

Appfication of Pleurography in the Diagnosis of Idiopathic Pneumothorax

作　　者：孙京轩[1] 郑建军 

机构地区：[1]浙江医学高等专科学校,浙江杭州310053 [2]宁波第二医院,浙江宁波315000

出　　处：《浙江医学教育》2003年第2期48-49,共2页Zhejiang Medical Education

摘　　要：目的:探讨胸膜腔造影术在特发性气胸诊断中的应用价值及安全性。方法:对28例特发性气胸,应用76%泛影葡胺40ml 进行胸膜腔造影。结果:发现肺大泡及肺小泡共24例,阳性率85.7%,其中"冒泡"征11例;施行手术的9例病人中,8例术中发现与检查结果完全吻合;12例注入造影剂后有轻-中度胸痛,3例术后低热,2～3日后均自行缓解,其余无明显不适。结论:胸膜腔造影对特发性气胸患者不仅可显示胸膜下大泡部位、大小、数目,而且对制定治疗方案具有积极的指导意义。[Objective]To evaluate the clinical value and safety of pleurography in the diagnosis of idiopathic pneumothorax. [Method]The study presented a retrospective analysis of 28 patients with idiopathic pneumothorax.27 males and 1 female sub- jects were observed,aging from 18 to 42 years old.27 patients underwent pleurography 2-11 days after onset,40ml 76% meglucamine diatrizoate being injected into their thoracic cavities,and 1 patient 20 days after onset.[Result]Bullaeo or small vesicles oflung were found in 24 patients,accounting for 85.7%,among whom 21 patients were found to have bullae or small vesicles of lung in the upper lobe(87.5%)and 3 patients in the middle and lower lobe(12.5%).'Air bubble' sign was demonstrated in the chest films of 11 cases.9 patients were operated and the findings during the operation in 8 patients were in accordance with those in the pleurography.In the group,12 cases suffered slight or moderate chest pain after the injection,3 cases got light fever after operation and their temperature dropped spontaneously 2 - 3 days later.Others had no complaints. [Conclusion]Pleurography is a safe and efficacious method in the diagnosis of idiopathic pneumothorax,which shows the loca- tion,size and number of bullae of lung under the pleurae,and has constructive value in clinical treatment.

关 键 词：胸膜腔 特发性气胸 造影 

分 类 号：R561.4[医药卫生—呼吸系统]