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肝肺综合征的X线表现
引用本文:白旭明,张爱伟,孙刚庆,牛智祥,屈文烈.肝肺综合征的X线表现[J].河南职工医学院学报,2001,13(2):120-120,163.
作者姓名:白旭明  张爱伟  孙刚庆  牛智祥  屈文烈
作者单位:河南省义马煤业集团公司总医院,义马,472300
摘    要:目的:探讨肝肺综合征的X线表现。方法:对18例肝肺综合征(Hepato pulmonary Syndrome,HPS)胸部平片进行了回顾性分析,其中3例行CT扫描。结果:胸部异常16例,X线表现为肺纹理增多、紊乱,其中14例下肺呈结节状阴影,4例伴有斑片状阴影;4例伴有胸腔积液;2例伴有下肺盘状肺不张。3例胸部CT显示病变较平片更多、更清晰。结论:肺基底部结节状阴影是HPS典型X线表现,但不具有特异性。

关 键 词:肝肺综合征  X线诊断  HPS  临床表现
文章编号:1008-9276(2001)02-0120-02

The X-ray Finding in Patients with Hepatopulmonary Syndrome
Bai Xuming Zhang Aiwei Sun Gangqing et al.The X-ray Finding in Patients with Hepatopulmonary Syndrome[J].Journal of Henan Medical College For Staff and Workers,2001,13(2):120-120,163.
Authors:Bai Xuming Zhang Aiwei Sun Gangqing
Abstract:Objective To investigate the X-ray findings of Hepatopulmonary Syndrome (HPS).Methods:The chest X-ray plain films of 18 cases of HPS were retrospectively analyzed.CT scan were done on 3 of them.Results:Abnormal chest imaging findings were seen on 16 patients.Radiology findings were as follows:16 cases showed increased and distorted lung markings.Among them 14 cases showed multiple nodular shadows at both lower lungs,4 of them associated with patchy consolidation;4 of them associated with pleural effusion,2 of them associated with plate-like atelectasis at lower lungs.Chest CT scans showed much more and clear lesions than those on the plain films in 3 cases.Conclusion:The nodular shadows at lower lung are the typical X-ray finding of HPS,but they have no specificity.
Keywords:Hepatopulmonary Syndrome  Rediography
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