心脏直视术后胸部X线评估  

Radiographic Evaluation of Chest After Open Heart Surgery

作　　者：杨立生[1] 刘维民[1] 张德一[1] 苏明春[1] 王明裕[1] 蒋高民[1] 

机构地区：[1]吉林市解放军第465医院放射科,吉林吉林132013

出　　处：《实用放射学杂志》2002年第4期271-273,共3页Journal of Practical Radiology

摘　　要：目的　探讨心内直视术后胸部X线表现及其评估方法。方法　将 2 36例心内直视手术病人按首次摄术后胸片时间分三组 :0～ 3d、4～ 7d和 8d以上组。与术前胸片对比 ,按 7个方面依次观察胸片。结果　发现包括急性肺水肿、低心排出量综合征和灌注肺等严重并发症在内的 8种并发症。纵隔增宽、胸腔积液和间质性肺水肿 ,8d以上组发生率较另二组明显降低 (Ρ <0 .0 0 1,Ρ<0 .0 0 1和Ρ <0 .0 5 )。结论　严格按照检查时间表摄片 ,全面观察胸片 ,密切结合临床表现有助于客观评估术后胸部X线表现。Objective To study the radiographic findings of the chest in patients after open heart surgery and its evaluating methods.Methods 236 cases after open heart surgery were divided into 3 groups according to the date of the first postoperative chest films:0～3 d,4～7 d and 8 d or more.The findings on pre and postoperative chest films were compared in 7 aspects respectively.Results 8 typses of complications were detected including severe ones such as acute pulmonary edema,the low cardiac output syndrome and ARDS.The incidences of widening of the mediastinum,pleural effusion and pulmonary interstitial edema were lower in over 8 d group than those in the other two groups(Ρ<0.001,Ρ<0.001 and Ρ<0.05).Conclusion Taking postoperative chest films on rigid schedule,surveying chest radiographs all-sidedly and integrating the clinical events closely help to objectively evaluate the postoperative radiographic findings of chest.

关 键 词：心脏直视术 胸部X线 手术后 并发症 放射照相术 

分 类 号：R654.2[医药卫生—外科学] R816.2[医药卫生—临床医学]