心力衰竭致叶间胸膜积液16例分析

The 16 cases of interlobar pleural effusion caused by heart failure

目的：提高对心力衰竭致叶间胸膜积液的认识。方法：对16例积液患者X线胸片结合临床资料进行回顾性分析。结果：全部病例均有心脏增大。右水平裂积液5例，右斜裂积液5例，右水平裂及斜裂积液6例，伴右侧及双侧肺底积液3例，伴左、右少量胸腔积液3倒，伴右侧少量胸积液3例。结论：心力衰竭致叶间胸膜积液以右侧多见，伴有心脏增大是重要的X线征象，临床上综合治疗，利尿，心肌营养药。纠正低蛋白血症。叶同积液一周复查可有明显吸收或／和完全吸收，心脏可较前缩小。

Objective： To raise awareness of heart failure leading to interlabar pleural effusion. Method ： a whole 16 cases patients team who suffer from cardiac failure are done by conventionaL chest x - ray together with clinical data , and then are given a retrospective analysis. Result ： allthe whole of 16 cases patients show cardiac enlargement ,five eases have horizontal fissure effusion, 5cases behave as oblique fissure effusion, 6 eases display horizontal and obllque fissure effusion on the right side, at the same time , the patients who have interlobar pleural effusion accompanying 3 cases with right pleural effusion and infrapulmonary fluid accumulation on the both side, and followylng 3 eases with little pleural effusion on both side , and occuring together 3 cases with little pleural effusion on right side. Conclusion： heart failure results in intedobar pleural effusion usually on the right side,followylng by the shape swelling of heart is a important x - ray sign,and when the patiens are given a comprehensive treatment such as diuresls,nourishing cardiac muscle ,correcting hypoproteinemia ,finally, the interlobar pleural effusion will be obviously absorbed or assimilated completely and the shape of the heart will be also reduced after be treated by one week.