89例急性左心衰-肺水肿的X线表现分析

目的 探讨急性左心衰-肺水肿在胸部X线影像学的表现。方法 回顾性分析89例具有完整临床资料的急性左心衰。肺水肿患者的胸部X线表现，所有病例均经临床随访证实。结果 89例患者中，87例心影有不同程度增大，肺部异常表现在肺瘀血9例，间质性肺水肿43例，肺泡性肺水肿37例。合并水平叶间裂增厚及单侧或双侧胸腔积液46例。结论 肺水肿胸部异常X线改变可以比临床表现出现得早。提高对急性左心衰。肺水肿X线诊断的认识，对协助临床诊断有着重要的意义。

X-ray charateristics of 89 cases with acute left heat failure-pulmonary edema

Objective To explore the diagnostic value of chest X-ray characteristics for diagnosis of acute left heart failure-pulmonary edema.Methods The chest X-ray menifestations of 89 cases diagnosed acute left heart failure-pulmonary edema were reviewed.Results 87 cases showed heart shape enlargement,9 cases showed abnormal pulmonary congestion,43 cases showed interstital pulmonary edema,37 cases showed pulmonary aveolar edema.46 cases complicated with monolateral or bilateral pulmonary effusion and horizontal fissure thickened.Conclusions The appearance of abnormal changes of pulmonary edema in chest X-ray is earlier than that of clininal menifestations.Elevating the knowledge of X-ray characteristics of left heart failure-pulmonary edema is helpful for clinical diagnosis.