65例仰卧位胸腔积液的X线表现

X-ray manifestations of pleural effusion on supine position:A report of 65 cases

目的:探讨危重不能站立病人仰卧位胸片胸腔积液的X线表现。方法:选用65例经CT检查为游离胸腔积液病例,分析定位胸片上胸腔积液的各种征象,统计肺野均匀性密度增高、膈肌轮廓征、新月征以及肺尖帽征在各类型积液中的出现率。结果:肺野均匀性密度增高在小量、中等量、大量积液中的出现率分别为63.6%、100%、100%,肺尖帽征在中等量和大量积液中的出现率分别为4.3%、65.7%。结论:仰卧位胸腔积液的主要X线表现是肺野均匀性密度增高,肺尖帽征是大量胸腔积液的典型X线征象。

Objective：To investigate the X-ray manifestations of pleural effusion on supine position for critical patients who could not stand up.Methods：Varying signs and symtoms of pleural effusion on CT scout views in 65 patients with free pleural effusion were analysed prospectively, and the frequencies of the increased homogeneous density over the lung field, obliteration of the silhouette of diaphragm,menisus sign and apical cap sign in various forms of effusion were counted up.Results：The frequency of increased homogeneous dencity over the lung field in the small ,moderate and large amount of effusion was 63.6%, 100% and 100% respectively,and the frequen- cy of pulmonary apical cap sign in the moderate and large amount of effusion was 4.3% and 65.7% respectively.Conclusion：The main X- ray manifestation of pleural effusion on supine position is increased homogeneous density over the lung field, the pulmonay apical cap sign is seen typically in the large amount of effusion.