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目的 :探讨癌性胸腔积液的胸部X线表现及鉴别诊断。方法 :对 3 0例癌性胸腔积液的胸部X线表现进行分析。结果 :1、大量癌性胸腔积液 ( 10例 ) ;胸部X线有三种表现 :①纵隔呈非一致性移位 ( 4例 ) ;气管向患侧移位或不移位 ,心脏不移位或向健侧移位。②纵隔不移位 ( 2例 ) ;气管及心脏解剖位置不变。③纵隔一致性移位 ( 4例 ) ;气管向健侧移位或不移位 ,心脏向健侧移位。2、中量癌性胸腔积液 ( 16例 ) ;渗液曲线反常者达 92 % ,且同侧肺野内带多见肺实变或肺门肿块。 3、少量癌性胸腔积液 ( 4例 ) ;同侧肺野多有阻塞性改变及肺门肿块。结论 :通过对癌性胸腔积液的胸部X线等检查 ,多能明确肺癌合并胸腔积液的诊断 ,从而提高对本病胸部X线平片的认识。
Objective: To investigate the chest X-ray findings and differential diagnosis of cancerous pleural effusion. Methods: Thoracic X-ray findings of 30 patients with malignant pleural effusion were analyzed. A large number of cancerous pleural effusion (10 cases); chest X ray showed three manifestations: ① mediastinal non-consistent shift (4 cases); tracheal to the affected side of the shift or not, the heart does not shift Or shift to the contralateral side. ② mediastinal shift (2 cases); tracheal and cardiac anatomical location unchanged. ③ mediastinal consistent shift (4 cases); tracheal shift to the contralateral side or not, the heart shifted to the contralateral side. 2, the amount of cancerous pleural effusion (16 cases); exudate curve abnormalities up to 92%, and ipsilateral lung field with more common lung or hilar mass. 3, a small amount of cancerous pleural effusion (4 cases); ipsilateral lung and field more obstructive changes and hilar mass. Conclusion: Through the chest X-ray examination of cancerous pleural effusion, diagnosis of lung cancer with pleural effusion can be more clear, so as to improve the understanding of the chest X-ray.