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目的 探讨心内直视术后胸部X线表现及其评估方法。方法 将 2 36例心内直视手术病人按首次摄术后胸片时间分三组 :0～ 3d、4～ 7d和 8d以上组。与术前胸片对比 ,按 7个方面依次观察胸片。结果 发现包括急性肺水肿、低心排出量综合征和灌注肺等严重并发症在内的 8种并发症。纵隔增宽、胸腔积液和间质性肺水肿 ,8d以上组发生率较另二组明显降低 (Ρ <0 .0 0 1,Ρ<0 .0 0 1和Ρ <0 .0 5 )。结论 严格按照检查时间表摄片 ,全面观察胸片 ,密切结合临床表现有助于客观评估术后胸部X线表现。
Objective To investigate chest X-ray findings and assessment methods after open heart surgery. Methods Totally 236 patients undergoing open heart surgery were divided into three groups according to the time of the first operation: 0 ~ 3d, 4 ~ 7d and 8d. Compared with the preoperative chest radiography, followed by seven aspects of the chest X-ray observation. Results Eight complications including acute pulmonary edema, low cardiac output syndrome and severe complications such as pulmonary perfusion were found. Mediastinal widening, pleural effusion and interstitial pulmonary edema, 8d over the group was significantly lower than the other two groups (P <0. Conclusion In strict accordance with the inspection schedule radiography, a comprehensive observation of the chest X-ray, combined with clinical manifestations closely contribute to the objective assessment of postoperative chest X-ray findings.